Implementation of substance use screening in rural federally-qualified health center clinics identified high rates of unhealthy alcohol and cannabis use among adult primary care patients.
Jennifer McNeelyBethany McLemanTrip GardnerNoah NesinVijay AmarendranSarah FarkasAimee WahleSeth PittsMargaret KlineJacquie KingCarmen RosaLisa MarschJohn RotrosenLeah HamiltonPublished in: Addiction science & clinical practice (2023)
Self-administered EHR-integrated screening was feasible to implement, and detected substantial alcohol, cannabis, and tobacco use in rural FQHC clinics. Counseling was documented for a minority of patients with moderate-high risk use, possibly indicating a need for better support of primary care providers in addressing substance use. There is potential to broaden the reach of screening by offering it at routine medical visits rather than restricting to annual preventive care visits, within these and other rural primary care clinics.
Keyphrases
- primary care
- healthcare
- south africa
- general practice
- end stage renal disease
- ejection fraction
- newly diagnosed
- public health
- palliative care
- mental health
- prognostic factors
- alcohol consumption
- high intensity
- clinical practice
- quality improvement
- electronic health record
- smoking cessation
- health information
- pain management
- hiv infected
- human health
- chronic pain
- hepatitis c virus
- social media