IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i9p1030-d111289.html
   My bibliography  Save this article

Evaluation of a Pilot Implementation to Integrate Alcohol-Related Care within Primary Care

Author

Listed:
  • Jennifer F. Bobb

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA
    Contributed equally to the conceptualization and writing of this manuscript.)

  • Amy K. Lee

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA
    Contributed equally to the conceptualization and writing of this manuscript.)

  • Gwen T. Lapham

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA)

  • Malia Oliver

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA)

  • Evette Ludman

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA)

  • Carol Achtmeyer

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA
    Center of Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System 1660 S. Columbian Way, Seattle, WA 98108, USA)

  • Rebecca Parrish

    (Kaiser Permanente Washington, 1200 SW 27th St., Renton, WA 98057, USA)

  • Ryan M. Caldeiro

    (Kaiser Permanente Washington, 1200 SW 27th St., Renton, WA 98057, USA)

  • Paula Lozano

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA)

  • Julie E. Richards

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA)

  • Katharine A. Bradley

    (Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Ste 1600, Seattle, WA 98101, USA)

Abstract

Alcohol use is a major cause of disability and death worldwide. To improve prevention and treatment addressing unhealthy alcohol use, experts recommend that alcohol-related care be integrated into primary care (PC). However, few healthcare systems do so. To address this gap, implementation researchers and clinical leaders at Kaiser Permanente Washington partnered to design a high-quality Program of Sustained Patient-centered Alcohol-related Care (SPARC). Here, we describe the SPARC pilot implementation, evaluate its effectiveness within three large pilot sites, and describe the qualitative findings on barriers and facilitators. Across the three sites ( N = 74,225 PC patients), alcohol screening increased from 8.9% of patients pre-implementation to 62% post-implementation ( p < 0.0001), with a corresponding increase in assessment for alcohol use disorders (AUD) from 1.2 to 75 patients per 10,000 seen ( p < 0.0001). Increases were sustained over a year later, with screening at 84.5% and an assessment rate of 81 patients per 10,000 seen across all sites. In addition, there was a 50% increase in the number of new AUD diagnoses ( p = 0.0002), and a non-statistically significant 54% increase in treatment within 14 days of new diagnoses ( p = 0.083). The pilot informed an ongoing stepped-wedge trial in the remaining 22 PC sites.

Suggested Citation

  • Jennifer F. Bobb & Amy K. Lee & Gwen T. Lapham & Malia Oliver & Evette Ludman & Carol Achtmeyer & Rebecca Parrish & Ryan M. Caldeiro & Paula Lozano & Julie E. Richards & Katharine A. Bradley, 2017. "Evaluation of a Pilot Implementation to Integrate Alcohol-Related Care within Primary Care," IJERPH, MDPI, vol. 14(9), pages 1-18, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1030-:d:111289
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/9/1030/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/9/1030/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Glasner-Edwards, Suzette & Rawson, Richard, 2010. "Evidence-based practices in addiction treatment: Review and recommendations for public policy," Health Policy, Elsevier, vol. 97(2-3), pages 93-104, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Silvana Secinaro & Davide Calandra & Carolina Cappa & Emanuele Bignamini, 2020. "La qualit? dei dati all?interno dell?evoluzione dei servizi territoriali: il caso del Servizio Dipendenze," MECOSAN, FrancoAngeli Editore, vol. 0(116), pages 31-51.
    2. Carr, E. Summerson & Obertino-Norwood, Hannah, 2022. "Legitimizing evidence: The trans-institutional life of evidence-based practice," Social Science & Medicine, Elsevier, vol. 310(C).
    3. Rita Yi Man Li & Kwong Wing Chau & Frankie Fanjie Zeng, 2019. "Ranking of Risks for Existing and New Building Works," Sustainability, MDPI, vol. 11(10), pages 1-26, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1030-:d:111289. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.