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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
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
Poor understanding of alcohol units
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