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BARRIERS TO PHYSICIAN IDENTIFICATION OF PROBLEM ALCOHOL AND DRUG USE: RESULTS OF STATEWIDE FOCUS GROUPS

Holland, Cynthia L. (2007) BARRIERS TO PHYSICIAN IDENTIFICATION OF PROBLEM ALCOHOL AND DRUG USE: RESULTS OF STATEWIDE FOCUS GROUPS. Master's Thesis, University of Pittsburgh.

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    Abstract

    Substance abuse is related to many other health problems, thus making the topic of great public health significance. The scope of this study is the results of focus groups conducted with physicians across the state of Pennsylvania; specifically Harrisburg, Pittsburgh, and Philadelphia. The purpose was to ascertain the barriers to identifying problem alcohol and drug use in patients by practicing physicians. Physicians statewide acknowledged key barriers to screening; time, access to treatment and financial reasons, both patient financial issues or problems and reimbursement from insurers or commercial payers. Additional barriers that were identified as a result of the focus groups included stigmatizing attitude toward substance use, physicians' lack of self-efficacy in managing substance use disorders, and lack of knowledge in this area, among others. The study discusses the results of the focus groups and explores the education that could be offered to physicians in order to increase their knowledge in the area of screening and the identification of problem drug or alcohol use.


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    Item Type: University of Pittsburgh ETD
    ETD Committee:
    ETD Committee TypeCommittee MemberEmail
    Committee ChairTerry, Martha Annmaterry@pitt.edu
    Committee MemberButler, Jamesjbutler9@pitt.edu
    Committee MemberSmith, Randallsmithrb@pitt.edu
    Title: BARRIERS TO PHYSICIAN IDENTIFICATION OF PROBLEM ALCOHOL AND DRUG USE: RESULTS OF STATEWIDE FOCUS GROUPS
    Status: Unpublished
    Abstract: Substance abuse is related to many other health problems, thus making the topic of great public health significance. The scope of this study is the results of focus groups conducted with physicians across the state of Pennsylvania; specifically Harrisburg, Pittsburgh, and Philadelphia. The purpose was to ascertain the barriers to identifying problem alcohol and drug use in patients by practicing physicians. Physicians statewide acknowledged key barriers to screening; time, access to treatment and financial reasons, both patient financial issues or problems and reimbursement from insurers or commercial payers. Additional barriers that were identified as a result of the focus groups included stigmatizing attitude toward substance use, physicians' lack of self-efficacy in managing substance use disorders, and lack of knowledge in this area, among others. The study discusses the results of the focus groups and explores the education that could be offered to physicians in order to increase their knowledge in the area of screening and the identification of problem drug or alcohol use.
    Date: 27 September 2007
    Date Type: Completion
    Defense Date: 26 July 2007
    Approval Date: 27 September 2007
    Submission Date: 02 August 2007
    Access Restriction: No restriction; The work is available for access worldwide immediately.
    Patent pending: No
    Institution: University of Pittsburgh
    Thesis Type: Master's Thesis
    Refereed: Yes
    Degree: MPH - Master of Public Health
    URN: etd-08022007-153019
    Uncontrolled Keywords: physician; screening; Substance abuse
    Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
    Date Deposited: 10 Nov 2011 14:56
    Last Modified: 11 Jun 2012 09:15
    Other ID: http://etd.library.pitt.edu/ETD/available/etd-08022007-153019/, etd-08022007-153019

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