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Effective Health Care Service Delivery

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Topic: Effective Health Care Service Delivery
Author: Forum Administrator
Posted: 31 Jul 2003
What systems are required to deliver the best healthcare outcomes for those at greatest risk?

Topic: Re: Effective Health Care Service Delivery
Author: Fiona DeLacy
Posted: 20 Aug 2003
There are some systems already in place that need further support to work effectively. One in five men and one in ten women who visit their GP meet the criteria for at risk drinking(Flemming,1997;Manwell et al, 1998) so these primary care workers are in a prime position to screen and treat these individuals. Many GPs are unaware of their patient's substance abuse and treatment opportunities are lost. I would love to see better GP education in the D & A field and nurse specialists placed in General Practice to support the care of these people in the primary care setting, such as The Opiate Program in the ACT.

Topic: Re: Effective Health Care Service Delivery
Author: Glen Harrington
Posted: 22 Aug 2003
Will funding increase for detoxification and rehabilitation services in the near future,
and is litigation a forseeable problem for Gov't, Brewries, Hotel-Clubs, and will affected addictive drinkers who have received health problems due to over use of an addictive substance be entitaled to compensation.

Topic: Re: Effective Health Care Service Delivery
Author: Christa Bidgood
Posted: 25 Aug 2003
In active alcoholism and addiction I underwent many treatments. I had mental problems, physical problems and
emotional problems. Never was it determined that alcohol and drugs were the core of my problems. Why? I lied.
Lied about how much I drank and that I took drugs. Through fear of beng found out and shame of how much I drank - I knew it wasn't normal to drink as much as I did and the way I did. What should a doctor do? Learn about the nature of alcoholism. There is Al-non and Nar-anon available for this. Even though
resistance may stop many from learning about this fatal disease if we do not understand it then how can we treat the patient. Alcoholism and addiction can not be treated with a chemical.
One by one the diseases of mankind have been pulled out of the limbo of superstition fear and ignorance into the light of modern knowledge and techniques that could deal with them. One by one the scourges of man have been brought under control. We are late with alcoholism and addiction, very late - but qwe have the tools and we can lick it too. It needs only our determination, as individuals, as communities and as a nation.
As for compensation I am responsible
for taking the frist drink and drug. The diagnosis to alcoholism and addiction came later. Is the government and breweries responsible for that? Can I be compensated for 24 years of suffering?
What recovery has taught me is that I am responsible and that I took from society and my family now it is time to give back in what ever way I can even at great personal sacrifice for this I am responsible.

Topic: Re: Effective Health Care Service Delivery
Author: Michael Stevens
Posted: 27 Aug 2003
Fiona DeLacy advocates increased GP involvement and training to detect alcohol misuse. Pharmacists are also in a position to detect alcohol misuse and to offer brief interventions when dispensing medication. Alcohol abuse is often a co-morbidity with anxiety and depression.

 

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