Table 2.

Medical Provider Responses to Survey about Alcohol and Opiate Screening, Brief Intervention, and Referral to Treatment in Primary Care

Survey QuestionAlcohol Mean (SD)Opiate Mean (SD)Significance Testing (P)
Thinking about your practice and patients generally, please indicate the degree to which alcohol/opiate use is a problem (Q1, Q17)65 (22)70 (22).054
Compared to other health issues, addressing alcohol/opiate use problems is a top priority for our practice (Q6, Q21)56 (21)62 (24).038
The leadership in my practice considers addressing alcohol/opiate use problems a priority (Q9, Q24)56 (26)59 (28).421
As a primary care clinician, it is my responsibility to address alcohol/opiate use problems in my patients rather than referring them to others in the community (e.g. specialty clinics) (Q7, Q22)61 (26)62 (24).794
Practice staff (other than physicians and mid-level practitioners) feel invested in helping patients with alcohol/opiate use problems (Q8, Q23)50 (27)49 (25).769
Which of the following statements best describes the current situation in your practice for screening patients for alcohol/opiate use problems? (Q2, Q18).020
    Screening based on individual patient characteristics50%65%
    Screen at all patient visits26%15%
    Screen at well patient visits22%13%
    Never screen1%7%
When patients are screened for alcohol/opiate use problems, which of the following statements best describes your approach? (Q3, Q19).071
    Clinician conducts screening63%77%
    Nurse or medical assistant19%10%
In thinking about your practice as a whole, which of the following best describes your approach to treatment for patients with alcohol/opiate use problems? (Q5, Q20).068
    Mix of providing SUD treatment in practice and referring to outside resources55%57%
    Only refer out to outside resources37%25%
Patients in my community feel comfortable seeking treatment for alcohol/opiate use problems at our clinic (Q11, Q26)52 (24)48 (27).204
Are you satisfied with how your practice addresses patients with alcohol/opiate use problems? (Q15, Q30).147
    Strongly satisfied9%12%
    Somewhat satisfied49%36%
    Somewhat dissatisfied35%39%
    Strongly dissatisfied7%13%
Increasing our efforts to intervene in patients' alcohol/opiate use problems is important to this practice (Q14, Q29)69 (22)74 (21).240
I believe that my practice has the ability to make improvements in how we deliver care for patients with alcohol/opiate use problems (Q13, Q28)68 (21)74 (23).058
If you feel that your practice could improve its care for patients with alcohol/opiate use problems, please indicate how helpful each of the following possible strategies might be:
    Clinician training in, and structures to support use of, medications for alcohol/opiate use problems (e.g., naltrexone) (Q16a, Q31a)66 (22)68 (23).456
    A “collaborative care” approach (e.g., coordinated by a nurse care manager) (Q16b, Q31b)75 (23)76 (24).654
    Training in behavior change approaches (e.g., Motivational Interviewing) (Q16c, Q31c)68 (20)64 (25).023
    Increased practice coordination with other community resources (e.g., treatment, social supports, etc.) (Q16d, Q31d)82 (14)78 (19).055
    Effective instruments to help detect problem alcohol/opiate use (Q16e, Q31e)67 (21)68 (22).718
  • Percentages may not add up to 100 due to rounding error. Numbers ranged from 1 to 100 unless a % is noted. Significance at P < .05 (bolded). “Q” refers to the question in the survey in Appendix 1.

  • SD, standard deviation; SUD, Substance Use Disorder.