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Table 2 Summary of consultation findings

From: Information standards for recording alcohol use in electronic health records: findings from a national consultation

Domain

Construct

Description

Intervention

Relative advantage

Evidence based and validated

Standardised and consistent

Facilitate screening and brief interventions

Diagnostic, prognostic, and social information

Prescribing – drug interactions with alcohol

Early recognition of alcohol withdrawal

Temporal trends in alcohol use

Audit, needs assessment, and research

Adaptability – core components

Brief and simple

User-friendly EHR interface

Standard template

Visual depiction of alcohol units

Instant access to results and interpretation

Frequency of recording is context dependent

Lower AUDIT-C thresholds in pregnancy

Age criteria

Patient confidentiality

Adaptability – adaptable periphery

Care pathways and support services

Link with mental health services

Wide range of health settings and health professionals potentially involved

Self-completion of alcohol screening

Direct patient access to EHRs and personal health records

Inclusion in summary care records

Electronic prompts for clinicians

Other considerations

Costs and resources

Piloting

Inner setting

Implementation climate

Integration with routine processes

Clinical judgement

Administrative burden

Implementation of EHRs

Integration of clinical information systems across health services

IT infrastructure and digital connectivity

Data governance

Automation of care pathways

Alignment with clinical coding standards and information models

Organisational support and clear policy

Clinical leadership

Perceived importance among clinicians

Financial incentives

Key performance indicators

Readiness for implementation

Training healthcare staff

Implementation guide

Access to EHRs

Culture

Professional and cultural attitudes towards alcohol use

Perception of usual practice

Normalise alcohol screening and brief interventions in practice

Networks, communication, and structural factors

Communication of benefits and relevance to clinicians and patients

Sensitive and non-judgemental communication

Clear information on care pathways and best practice

Integration of alcohol and mental health services

Outer setting

Patient needs and resources

Underreporting of alcohol use

Stigma

Poor understanding of alcohol units

Confidentiality

Consent for data sharing between healthcare providers

Association with poor mental health

Adverse implications for life insurance, driving, and employment

Bias future clinical assessments

External policies and incentives

Clinical guidelines

Alcohol health campaigns

Low risk drinking guidelines

Financial incentives

Key performance indicators

Labelling of alcohol units lacking

Cosmopolitanism and peer pressure

Communication and data sharing between health services

Coordination and continuity of care

Influence of peers in primary care