Outcomes of a monitoring program for physicians with mental and behavioral health problems.
Outcomes of a monitoring program for physicians with mental and behavioral health problems.
复制标题
针对有精神和行为健康问题的医生的监测计划的结果。
DOI：
10.1097/00131746-200701000-00004
复制
发表时间：
2007
影响因子：
1.9
通讯作者：
Fromson,JohnA
中科院分区：
文献类型：
--
作者：
Knight,JohnR;Sanchez,LuisT;Sherritt,Lon;Bresnahan,LindaR;Fromson,JohnA
目的：大多数州都有为患有物质使用障碍（SUD）的医生提供结构化监测的项目。近年来，马萨诸塞州医学会的医生健康服务（PHS）计划使用了类似的结构化方法来监测有其他精神和行为健康（MBH）问题的医生。本研究的目的是确定的结果的PHS监测程序SUDs和MBH的问题，比较其整体成功率，并确定相关的success.Method.数据从PHS行政数据库中提取的医生提出1993年1月1日至2003年5月31日。变量包括性别、年龄、专业、监测合同类型（SUD与MBH）和州许可证委员会的参与。合同的开放和关闭日期被用来归类为成功完成，复发，或other.Results.Of 58名医生MBH合同，43（74%）成功完成，7（12%）复发，8（14%）没有完成其他原因。在120名签订SUD合同的医生中，90名（75%）成功完成，10名（8%）复发，20名（17%）因其他原因未完成。SUD合同的成功完成与许可委员会的参与显着相关（84%对66%，p= 0.04）。生存分析表明，复发的时间是显着较短的女性相比，男性的MBH和SUD合同（对数秩检验的平等生存分布p< 0.001 MBH和p= 0.001 SUD）。结论：这项研究表明，医生MBH的问题，可以监测在一个类似的方式与SUD的医生，并具有类似的积极成果。然而，在医生健康监测方案中，应更加重视为妇女提供的服务。
Objective.Most states have programs that provide structured monitoring for physicians with substance use disorders (SUDs). In recent years, the Massachusetts Medical Society's Physician Health Services (PHS) program has used a similarly structured approach to monitor physicians with other mental and behavioral health (MBH) problems. The objective of this study was to determine the outcomes of the PHS monitoring programs for SUDs and MBH problems, compare their overall success rates, and identify correlates of success.Method.Data were extracted from the PHS administrative database for physicians presenting between January 1, 1993 and May 31, 2003. Variables included gender, age, specialty, type of monitoring contract (SUD vs MBH), and state licensing board involvement. Dates of contract openings and closings were used to categorize cases as successful completion, relapse, or other.Results.Of 58 physicians with MBH contracts, 43 (74%) completed successfully, 7 (12%) relapsed, and 8 (14%) did not complete for other reasons. Of 120 total physicians with SUD contracts, 90 (75%) completed successfully, 10 (8%) relapsed, and 20 (17%) did not complete for other reasons. Successful completion of SUD contracts was significantly associated with licensing board involvement (84% vs 66%, p= 0.04). Survival analysis indicated that time to relapse was significantly shorter for women compared to men on both MBH and SUD contracts (log rank test for equality of survival distribution p< 0.001 for MBH and p= 0.001 for SUD).Conclusion.This study suggests that physicians with MBH problems can be monitored in a similar fashion as physicians with SUDs, and with similarly positive outcomes. However, greater attention should be given to services for women in physician health monitoring programs.