Professionalism in medicine: Results of a national survey of physicians
Professionalism in medicine: Results of a national survey of physicians
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DOI：
10.7326/0003-4819-147-11-200712040-00012
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发表时间：
2007-12-04
影响因子：
39.2
通讯作者：
Blumenthal, David
中科院分区：
文献类型：
--
作者：
Campbell, Eric G.;Regan, Susan;Blumenthal, David
背景：通过提高专业性来改善护理的前景在医生组织中获得了动力。虽然已经有努力来定义和促进专业精神，很少有数据是关于医生的态度和符合professionalnorm.Objective：以确定在何种程度上执业医师同意和行为一致的专业规范。设计：全国调查使用分层随机抽样。设置：医疗保健在美国。参与者：3504名内科、家庭医学、儿科、外科、麻醉学和心脏病学的执业医师。测量：通过使用美国医师学会和美国内科医学委员会制定的每个专业领域的指标来评估态度和行为。合格的抽样医生，1662回应，产生58%的加权响应率（调整不合格的医生）。结果：百分之九十或更多的受访者同意与公平分配有限资源的原则，提高获得和护理质量，管理利益冲突，专业自我调节的具体声明。24%的人不同意定期重新认证是可取的。医生的行为并不总是反映他们认可的标准。例如，尽管96%的受访者同意医生应该向有关当局报告受损或不称职的同事，但45%的受访者遇到这样的同事时没有报告他们。局限性：我们的行为措施没有捕捉到所有可能反映规范的活动。此外，行为是自我报告，结果可能无法推广到医生的专业不包括在study.Conclusion：医生同意专业协会颁布的专业行为标准。然而，报告的行为并不总是符合这些规范。
Background: The prospect of improving care through increasing professionalism has been gaining momentum among physician organizations. Although there have been efforts to define and promote professionalism, few data are available on physician attitudes toward and conformance with professional norms.Objective: To ascertain the extent to which practicing physicians agree with and act consistently with norms of professionalism.Design: National survey using a stratified random sample.Setting: Medical care in the United States.Participants: 3504 practicing physicians in internal medicine, family practice, pediatrics, surgery, anesthesiology, and cardiology.Measurements: Attitudes and behaviors were assessed by using indicators for each domain of professionalism developed by the American College of Physicians and the American Board of Internal Medicine. Of the eligible sampled physicians, 1662 responded, yielding a 58% weighted response rate ( adjusting for noneligible physicians).Results: Ninety percent or more of the respondents agreed with specific statements about principles of fair distribution of finite resources, improving access to and quality of care, managing conflicts of interest, and professional self-regulation. Twenty-four percent disagreed that periodic recertification was desirable. Physician behavior did not always reflect the standards they endorsed. For example, although 96% of respondents agreed that physicians should report impaired or incompetent colleagues to relevant authorities, 45% of respondents who encountered such colleagues had not reported them.Limitations: Our measures of behavior did not capture all activities that may reflect on the norms in question. Furthermore, behaviors were self-reported, and the results may not be generalizable to physicians in specialties not included in the study.Conclusion: Physicians agreed with standards of professional behavior promulgated by professional societies. Reported behavior, however, did not always conform to those norms.