Young doctors' health .2. Health and health behaviour
Young doctors' health .2. Health and health behaviour
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DOI：
10.1016/s0277-9536(96)00307-3
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发表时间：
1997-07-01
影响因子：
5.4
通讯作者：
Wrate, RM
中科院分区：
文献类型：
--
作者：
Baldwin, PJ;Dodd, M;Wrate, RM
关于年轻医生的健康状况，除了一些研究表明精神病症状发生率增加之外，几乎没有发表过任何信息。对它们的健康行为也知之甚少。坊间说法表明，医生自己的医疗保健很差，特别是在他们咨询其他医生的意愿方面。本文介绍的数据从一个类队列的年轻医生首次采访时，他们是学生的纵向研究。数据显示，她们经常患有轻微的身体疾病，妇女报告的疾病多于男子。尽管如此，他们看起来不太病假。总的来说，医生们很少请假。使用GHQ-28，阈值为5/6，30%的医生属于精神症状的“病例”类别。这与其他地方的调查结果一致。从医生们自己报告的健康行为来看，无论是在过去一年中他们对疾病的反应，还是他们对假设疾病的预测反应，他们都发展出了适应不良的模式。这些措施包括在不适合的时候继续工作，自我处方，咨询朋友和同事而不是去正式咨询。这被认为是不适当的，特别是在精神疾病的情况下。三分之一的年轻医生没有在当地的全科医生那里注册，大多数人对职业健康服务的作用没有明确的概念。讨论的结果是，需要改变对保健的态度，并制定指导方针，人员配备和服务，使医生能够更好地照顾自己。(C)1997 Elsevier Science Ltd.
There is little published information on the health of young doctors, apart from a number of studies which show increased rates of psychiatric symptoms. Nor is there much known of their health behaviour. Anecdotal accounts suggest that doctors' own health care is poor, especially in terms of their willingness to consult other doctors. This paper presents data from a longitudinal study of a class cohort of young doctors first interviewed when they were students. Data show that they suffer from frequent minor physical ailments, with women reporting more ailments than men. Despite this, they look less sick leave. Overall, the doctors took very little time off work. Using the GHQ-28, with a threshold of 5/6, 30% of doctors fell into the ''caseness'' category for psychiatric symptoms. This is in keeping with findings elsewhere. From the doctors' own reported health behaviour, both in terms of their response to illness over the past year, as well as their predicted response to hypothetical illness, they have developed maladaptive patterns. These include continuing to So to work when unfit, self-prescribing, and consulting friends and colleagues rather than going for a formal consultation. This is seen as inappropriate, especially in cases of mental illness. A third of the young doctors are not registered with a local general practitioner and the majority have no clear idea of the role of the Occupational Health Service. The results are discussed in terms of the need to change attitudes to health care and to develop guidelines, staffing and services to enable doctors to take better care of themselves. (C) 1997 Elsevier Science Ltd.