Emily Johnson, Monty Ghosh, Vijay John Daniels, T Cameron Wild, Denise Campbell-Scherer, Jessica Mellinger, Gerald S Winder, Anne C Fernandez, Jessica Kirkwood, Puneeta Tandon
The development and evaluation of a provider-focused educational intervention about alcohol use disorder in patients with cirrhosis
Canadian liver journal
australia motor vehicle crashes mvcrelated health data available insurance claims hospitals primary care settings study aimed identify frequency mvcrelated consultations australian general practices explore pharmacological management health conditions related crashes investigate general practitioners gps perceived barriers enablers managing patients mixedmethods study quantitative component explored annual mvcrelated consultation rates seven years frequency chronic pain depression anxiety sleep issues mvc management opioids antidepressants anxiolytics sedatives sample 1438864 patients aged 16 years attending 402 australian general practices medicineinsight subsequently used content analysis 81 gps qualitative responses online survey included quantitative findings explore experiences attitudes managing patients mvc mvcrelated consultation rates remained stable 2012 2018 around 90 per 10000 consultations 20172018 compared peers experiencing mvc higher frequency chronic pain 48 vs 26 depressionanxiety 20 vs 13 sleep issues 7 vs 4 general medications prescribed mvc opioid prescribing much higher among patients mvc peers whether consulted chronic pain 238 95ci 216260 vs 152 95ci 145158 20172018 respectively 158 95ci 139176 vs 67 95 ci 6470 20172018 qualitative analyses identified lack guidelines local referral pathways decision frameworks critical barriers gps manage patients mvc gps also expressed interest better access management tools specific mvcrelated consequences eg whiplashseatbelt injuries acutechronic pain management mental health issues chronic pain mental health issues prescription opioids frequent among patients experiencing mvc reinforces relevance appropriate management limit physical psychological impact mvc gps identified lack available resources eg education checklists management support tools managing mvcrelated consequences need local referral pathways specific guidelines escalate treatments