[A key role for physicians in identifying, discussing and referring problematic alcohol use].

Introduction: Alcohol consumption increases the risk of approximately 200 health conditions. Nature, severity, and prevalence of alcohol-related issues in the Netherlands warrant more structured attention in medical consultations. Over 20 GP-guidelines recommend addressing alcohol consumption and providing advice. However, only severe alcohol-related issues are commonly addressed in the consultation room.

Method: Based on scientific literature challenges and opportunities are outlined.

Results: Physicians are key figures in the (early) detection of problematic alcohol use, but addressing this often proves difficult and is mostly limited to cases of (suspected) severe alcohol problems. Discomfort with the topic, underestimation of the issue, and unfamiliarity with referral options play a significant role.

Discussion: By briefly addressing alcohol use, inquiring about amount and frequency of consumption, implementing evidence-based short interventions, and referring to on- and offline prevention services from addiction care, physicians can contribute to the prevention and reduction of risky drinking.