Most risky drinkers missed in primary care because patients underreport drinking

Bradley K.A., Lapham G.T., Hawkins E.J. et al. ‘Quality concerns with routine alcohol screening in VA clinical settings’. Journal of General Internal Medicine: 2011, 26(3), p. 299–306.

In the US health care service for ex-military personnel, 61% of patients who screened positive when sent a postal survey did not do so when the same questions were asked by their clinics, casting doubt on the validity of the test in routine practice in a service where the emphasis was more on the quantity than the quality of screening.