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

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dc.contributor.author Kokole, Daša
dc.contributor.author Mercken, Liesbeth
dc.contributor.author Anderson, Peter
dc.contributor.author Mejía-Trujillo, Juliana
dc.contributor.author Perez-Gomez, Augusto
dc.contributor.author Bustamante Chavez, Ines Veronica
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Natera Rey, Guillermina
dc.contributor.author Arroyo, Miriam
dc.contributor.author Pérez De León, Alejandra
dc.contributor.author Bautista Aguilar, Natalia
dc.contributor.author Medina Aguilar, Perla Sonia
dc.contributor.author Schulte, Bernd
dc.contributor.author O'Donnell, Amy
dc.contributor.author de Vries, Hein
dc.contributor.author Jané-Llopis, Eva
dc.coverage.spatial Colombia
dc.coverage.spatial México
dc.coverage.spatial Perú
dc.date.accessioned 2023-09-06T20:45:10Z
dc.date.available 2023-09-06T20:45:10Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14094
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher Taylor and Francis
dc.relation.ispartofseries Global Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Context en_US
dc.subject Alcohol screening en_US
dc.subject Colombia en_US
dc.subject Mexico en_US
dc.subject Peru en_US
dc.subject.mesh Alcohol
dc.subject.mesh Colombia
dc.subject.mesh Mexico
dc.subject.mesh Perú
dc.title Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/17441692.2023.2207410
dc.relation.issn 1744-1706

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