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Vol 56: june • juin 2010 Canadian Family Physician•Le Médecin de famille canadien

557

Fast Facts National Physician Survey

Primary care and collaboration with addiction counselors

Jyoti Kotecha

MPA CChem MRSC

Colleen Savage

MSc

A

ccording to the results of the 2007 National Physician Survey (NPS), 4.8% of FPs in Canada esti- mate that 10% or more of their practice populations have problems with substance addiction. Substance addiction has a substantial effect on the rates of mor- bidity, mortality, and health care use in Canada.1 Kahan et al2 recently demonstrated that a shared care model for treating patients with addiction problems holds promise. The shared care model for treatment of addic- tion is defined as the collaboration of addiction special- ists and FPs in treating chronically addicted patients with substance (eg, alcohol, cigarette, and drugs) mis- use problems through ongoing education, communica- tion, and clinical support.

Data from the 2007 NPS also indicate that 29.3% of FPs regularly collaborate with addiction counselors.

The range of FPs collaborating with addiction coun- selors across the country is between 20.7% and 44.0%

(Figure 1), and 32.7% of FPs believe that their patients have good access to addiction counselors.

Given that FPs also report a need for further educa- tion and training to better identify and treat patients with addiction problems, using a shared care model for addiction control, as well as forming strong

collaborations with trained addiction counselors, appears to be an option that warrants further consider- ation. Methods to increase access to addiction counsel- ors in areas with high incidence of addiction would also be worth exploring.

The NPS is a collaborative project of the College of Family Physicians of Canada, the Canadian Medical Association, and the Royal College of Physicians and Surgeons of Canada. Additional results are available at www.nationalphysiciansurvey.ca. If you would like the opportunity to develop and write a future Fast Fact using the NPS results, please contact Harleen Sahota, National Physician Survey Project Manager, at 800 387-6197, extension 416, or hs@cfpc.ca.

Ms Kotecha is Research and Program Manager and Ms Savage is an epidemi- ologist, both at the Centre for Studies in Primary Care at Queen’s University in Kingston, Ont.

Competing interests None declared References

1. Liskow BI, Powell BJ, Penick EC, Nickel EJ, Wallace D, Landon JF, et al.

Mortality in male alcoholics after ten to fourteen years. J Stud Alcohol 2000;61(6):853-61.

2. Kahan M, Wilson L, Midmer D, Ordean A, Lim H. Short-term outcomes in patients attending a primary care–based addiction shared care program.

Can Fam Physician 2009;55:1108-9.e1-5.

Figure 1. Percentage of FPs working with addiction counselors, by province

FPs, %

PROVINCE 50

40 30 20 10

0 NL PE NS NB QC ON MB SK AB BC CANADA

Collaborate with addiction counselors Rate access to addiction counselors as being good

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