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While some in the addiction field are calling linkages between substance abuse treatment programs and primary health care the next great frontier, and a major managed care company is starting a pilot program that will make primary care physicians the managers of their patients' addiction treatment (see ADAW, April 10), it seems that no one has told the primary care physicians just how important they are going to be to addiction treatment in the 21st century.
According to a survey released last week by the National Center on Addiction and Substance Abuse at Columbia University (CASA), most primary care physicians are failing to diagnose substance-abusing patients, and a strikingly small percentage believe addiction treatment is very effective.
CASA surveyed 648 physicians in family medicine; general practice internal medicine; obstetrics and …