Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru
Researchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an interve...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-01-01
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| Series: | Global Public Health |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/17441692.2023.2207410 |
| _version_ | 1827811312885825536 |
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| author | Daša Kokole Liesbeth Mercken Peter Anderson Juliana Mejía-Trujillo Augusto Perez-Gomez Ines Bustamante Marina Piazza Guillermina Natera Rey Miriam Arroyo Alejandra Pérez De León Natalia Bautista Aguilar Perla Sonia Medina Aguilar Bernd Schulte Amy O’Donnell Hein de Vries Eva Jané-Llopis |
| author_facet | Daša Kokole Liesbeth Mercken Peter Anderson Juliana Mejía-Trujillo Augusto Perez-Gomez Ines Bustamante Marina Piazza Guillermina Natera Rey Miriam Arroyo Alejandra Pérez De León Natalia Bautista Aguilar Perla Sonia Medina Aguilar Bernd Schulte Amy O’Donnell Hein de Vries Eva Jané-Llopis |
| author_sort | Daša Kokole |
| collection | DOAJ |
| description | Researchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an intervention focused on improving detection and management of heavy alcohol use in primary care in Colombia, Mexico and Peru. Qualitative data obtained through interviews, logbooks and document analysis are used to explain quantitative data on number of alcohol screenings and screening providers in each of the countries. Existing alcohol screening standards in Mexico, and policy prioritisation of primary care and consideration of alcohol as a public health issue in Colombia and Mexico positively contributed to the outcome, while the COVID-19 pandemic had a negative impact. In Peru, the context was unsupportive due to a combination of: political instability amongst regional health authorities; lack of focus on strengthening primary care due to the expansion of community mental health centres; alcohol considered as an addiction rather than a public health issue; and the impact of COVID-19 on healthcare. We found that wider environment-related factors interacted with the intervention implemented and can help explain country differences in outcomes. |
| first_indexed | 2024-03-11T23:03:29Z |
| format | Article |
| id | doaj.art-4ba9c70ebe8d4666bed2d6438965db28 |
| institution | Directory Open Access Journal |
| issn | 1744-1692 1744-1706 |
| language | English |
| last_indexed | 2024-03-11T23:03:29Z |
| publishDate | 2023-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Public Health |
| spelling | doaj.art-4ba9c70ebe8d4666bed2d6438965db282023-09-21T13:56:58ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062023-01-0118110.1080/17441692.2023.22074102207410Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and PeruDaša Kokole0Liesbeth Mercken1Peter Anderson2Juliana Mejía-Trujillo3Augusto Perez-Gomez4Ines Bustamante5Marina Piazza6Guillermina Natera Rey7Miriam Arroyo8Alejandra Pérez De León9Natalia Bautista Aguilar10Perla Sonia Medina Aguilar11Bernd Schulte12Amy O’Donnell13Hein de Vries14Eva Jané-Llopis15CAPHRI Care and Public Health Research Institute, Maastricht UniversityCAPHRI Care and Public Health Research Institute, Maastricht UniversityCAPHRI Care and Public Health Research Institute, Maastricht UniversityCorporación Nuevos RumbosCorporación Nuevos RumbosUniversidad Peruana Cayetano HerediaUniversidad Peruana Cayetano HerediaInstituto Nacional de Psiquiatría Ramón de la Fuente MuñizInstituto Nacional de Psiquiatría Ramón de la Fuente MuñizInstituto Nacional de Psiquiatría Ramón de la Fuente MuñizInstituto Nacional de Psiquiatría Ramón de la Fuente MuñizInstituto Nacional de Psiquiatría Ramón de la Fuente MuñizUniversity Medical Centre Hamburg-EppendorfNewcastle UniversityCAPHRI Care and Public Health Research Institute, Maastricht UniversityCAPHRI Care and Public Health Research Institute, Maastricht UniversityResearchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an intervention focused on improving detection and management of heavy alcohol use in primary care in Colombia, Mexico and Peru. Qualitative data obtained through interviews, logbooks and document analysis are used to explain quantitative data on number of alcohol screenings and screening providers in each of the countries. Existing alcohol screening standards in Mexico, and policy prioritisation of primary care and consideration of alcohol as a public health issue in Colombia and Mexico positively contributed to the outcome, while the COVID-19 pandemic had a negative impact. In Peru, the context was unsupportive due to a combination of: political instability amongst regional health authorities; lack of focus on strengthening primary care due to the expansion of community mental health centres; alcohol considered as an addiction rather than a public health issue; and the impact of COVID-19 on healthcare. We found that wider environment-related factors interacted with the intervention implemented and can help explain country differences in outcomes.http://dx.doi.org/10.1080/17441692.2023.2207410contextalcohol screeningcolombiamexicoperu |
| spellingShingle | Daša Kokole Liesbeth Mercken Peter Anderson Juliana Mejía-Trujillo Augusto Perez-Gomez Ines Bustamante Marina Piazza Guillermina Natera Rey Miriam Arroyo Alejandra Pérez De León Natalia Bautista Aguilar Perla Sonia Medina Aguilar Bernd Schulte Amy O’Donnell Hein de Vries Eva Jané-Llopis Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru Global Public Health context alcohol screening colombia mexico peru |
| title | Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru |
| title_full | Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru |
| title_fullStr | Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru |
| title_full_unstemmed | Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru |
| title_short | Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru |
| title_sort | country and policy factors influencing the implementation of primary care based alcohol screening a comparison of colombia mexico and peru |
| topic | context alcohol screening colombia mexico peru |
| url | http://dx.doi.org/10.1080/17441692.2023.2207410 |
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