PDF(Pubmed)
Abstract：
BACKGROUND: Despite the United States Preventive Services Task Force recommendation to screen adults for unhealthy alcohol use, the implementation of alcohol screening in primary care remains suboptimal.
METHODS: A pre and post-implementation study design that used Agile implementation process to increase screening for unhealthy alcohol use in adult patients from October 2021 to June 2022 at a large primary care clinic serving minority and underprivileged adults in Indianapolis.
RESULTS: In comparison to a baseline screening rate of 0%, the agile implementation process increased and sustained screening rates above 80% for alcohol use using the Alcohol Use Disorders Identification Test - Consumption tool (AUDIT-C).
CONCLUSIONS: Using the agile implementation process, we were able to successfully implement evidence-based recommendations to screen for unhealthy alcohol use in primary care.
METHODS: A pre and post-implementation study design that used Agile implementation process to increase screening for unhealthy alcohol use in adult patients from October 2021 to June 2022 at a large primary care clinic serving minority and underprivileged adults in Indianapolis.
RESULTS: In comparison to a baseline screening rate of 0%, the agile implementation process increased and sustained screening rates above 80% for alcohol use using the Alcohol Use Disorders Identification Test - Consumption tool (AUDIT-C).
CONCLUSIONS: Using the agile implementation process, we were able to successfully implement evidence-based recommendations to screen for unhealthy alcohol use in primary care.
摘要：
背景：尽管美国预防服务工作组建议对成年人进行不健康的饮酒筛查，在初级保健中,酒精筛查的实施仍然不够理想.
方法：实施前和实施后的研究设计，从2021年10月至2022年6月，在印第安纳波利斯的一家为少数民族和贫困成年人服务的大型初级保健诊所，使用敏捷实施过程来增加对成年患者不健康饮酒的筛查。
结果：与0％的基线筛查率相比，使用酒精使用障碍识别测试-消费工具（AUDIT-C），敏捷的实施过程增加并持续超过80％的酒精使用筛查率。
结论：使用敏捷实施过程，我们成功实施了基于证据的建议,以筛查初级保健中的不健康饮酒.
方法：实施前和实施后的研究设计，从2021年10月至2022年6月，在印第安纳波利斯的一家为少数民族和贫困成年人服务的大型初级保健诊所，使用敏捷实施过程来增加对成年患者不健康饮酒的筛查。
结果：与0％的基线筛查率相比，使用酒精使用障碍识别测试-消费工具（AUDIT-C），敏捷的实施过程增加并持续超过80％的酒精使用筛查率。
结论：使用敏捷实施过程，我们成功实施了基于证据的建议,以筛查初级保健中的不健康饮酒.
