Country and policy factors influencing the implementation of primary care-based alcohol screening: a comparison of Colombia, Mexico and Peru

Simple item page
dc.contributor.affiliationDepartment of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands
dc.contributor.emaild.kokole@maastrichtuniversity.nl (Daša Kokole)
dc.creatorKokole, Dašaes_ES
dc.creatorMercke, Liesbethes_ES
dc.creatorAnders, Peteres_ES
dc.creatorMejía-Trujillo, Julianaes_ES
dc.creatorPerez-Gomez, Augustoes_ES
dc.creatorBustamante, Ineses_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorNatera Rey, Guillerminaes_ES
dc.creatorArroyo, Miriames_ES
dc.creatorPérez De León, Alejandraes_ES
dc.creatorBautista Aguilar, Nataliaes_ES
dc.creatorMedina Aguilar, Perla Soniaes_ES
dc.creatorSchult, Berndes_ES
dc.creatorO’Donn, Amyes_ES
dc.creatorVries, Hein dees_ES
dc.creatorJané-Llopi, Evaes_ES
dc.date2023
dc.date.accessioned2025-03-21T18:09:13Z
dc.date.accessioned2026-03-27T15:31:23Z
dc.date.available2025-03-21T18:09:13Z
dc.date.issued2023
dc.date.published2023
dc.descriptionResearchers 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.es_ES
dc.formatPDFes_ES
dc.identifierJC35DIEP23es_ES
dc.identifier.doi10.1080/17441692.2023.2207410
dc.identifier.eissn1744-1706
dc.identifier.issn1744-1692
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://doi.org/10.1080/17441692.2023.2207410
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8263
dc.language.isoenges_ES
dc.publisherInforma Healthcarees_ES
dc.relation18(1):2207410
dc.relation.jnabreviadoGLOB PUBLIC HEALTH
dc.relation.journalGlobal Public Health
dc.rightsAcceso Cerradoes_ES
dc.subject.kwContext
dc.subject.kwAlcohol screening
dc.subject.kwColombia
dc.subject.kwMexico
dc.subject.kwPeru
dc.titleCountry and policy factors influencing the implementation of primary care-based alcohol screening: a comparison of Colombia, Mexico and Perues_ES
dc.typeArtículoes_ES

Files

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download

Collections

Artículos de revista