Heavy drinkers’ expectations and experiences when discussing alcohol use during a general practice visit in Australia: A qualitative study

Background and objectives: Our understanding of community members’ expectations and experiences of discussing alcohol use in general practice settings is limited, particularly for people with heavy alcohol use.

Methods: Qualitative interviews were conducted with people with heavy alcohol use to explore their experiences of discussing alcohol use with their general practitioner (GP). Interviews were audio-recorded and transcribed, and data were analysed using an inductive thematic approach.

Results: Three themes were identified: (1) patient perceptions of alcohol discussions in primary care; (2) the importance of the doctor–patient relationship; and (3) consequences of unmet health needs and expectations. Patients expect their GPs to initiate conversations about alcohol use. Positive interactions are characterised by GPs’ caring, non-judgemental and collaborative approach, whereas negative interactions focus on a perceived lack of knowledge or ability to manage excessive alcohol use.

Discussion: Alcohol harm reduction efforts should include strategies for bolstering the therapeutic relationship between GPs and their patients.