Large scale implementation of early identification and brief intervention in Swedish primary health
care - will it be successful?
Engelsk titel: Large scale implementation of early identification and brief intervention in Swedish primary health
care - will it be successful?
Författare:
Spak F
;
Andersson A
Email: fredrik.spak@socmed.gu.se
Språk: Eng
Antal referenser: 51
Dokumenttyp:
Artikel
UI-nummer: 09023108
Sammanfattning
Aim: The aim is to describe the Swedish efforts to implement secondary prevention of alcohol
problems on a large scale in Primary Health Care.
Results: Sweden has a long tradition of working in prevention of alcohol problems, on both national
and local levels. The activities have increased over recent years, especially regarding the
dissemination of knowledge about harmful use of alcohol and implementation of early
identification and brief intervention (EIBI) methods. Compared to the implementation of EIBI
in most other countries, these activities appear to have been promoted to a high level in
Sweden. This development has probably been the result of several activities in this field, both
national and international, rather than the result of any single measure.
Conclusion: Although there is evidence that education alone is not a sufficient solution to implement new
methods, the main focus was competence enhancement in Sweden. As more people lately
have been engaged in EIBI, both in connection with implementation and research, our
prediction is that this research field will be boosted in the coming years. It is also likely that
the screening for alcohol issues will become a part of general health (or lifestyle-related)
screening. A key issue will be to focus on the sustainability of EIBI methods, possibly
through continuous support, e.g. by coaching or pay-per-performance economic
reimbursement.