Reasons for misuse of prescription medication among physicians undergoing monitoring by a physician health program.
Reasons for misuse of prescription medication among physicians undergoing monitoring by a physician health program.
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DOI：
10.1097/adm.0b013e31829da074
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发表时间：
2013-09
影响因子：
5.5
通讯作者：
Cottler LB
中科院分区：
文献类型：
--
作者：
Merlo LJ;Singhakant S;Cummings SM;Cottler LB
与药物相关的医生损害是一个小但严重的问题，对患者安全和公共健康产生重大影响。本研究的目的是确定因物质相关损害而转介至医生健康计划进行监测的医生滥用处方药的原因，以便制定更好的预防和干预机制。共有 55 名因物质相关障碍而受到州专业健康计划监测的医生（94.5% 为男性）参加了指导性焦点小组讨论。参与是匿名的。讨论由 9 个不同的焦点小组转录而成，每个小组持续 60-90 分钟。进行定性分析来检查主题。所有参与者均被诊断为物质依赖，其中 69.1% 的人承认有滥用处方药的历史。参与者记录了滥用处方药的五个主要原因：1）控制身体疼痛，2）控制情绪/精神困扰，3）控制压力情况，4）出于娱乐目的，5）避免戒断症状。我们的研究结果强调了自我药疗的重要性，它是滥用处方药的主要原因，尽管娱乐性使用也是一个重要因素。针对医生滥用处方药的预防工作应在医疗培训期间启动，并在医生的整个职业生涯中进行继续教育。
Substance related impairment of physicians is a small but serious problem, with significant consequences for patient safety and public health. The purpose of the present study was to identify reasons for prescription drug misuse among physicians referred to a physician health program for monitoring due to substance-related impairment, in order to develop better mechanisms of prevention and intervention. A total of 55 physicians (94.5% male) who were being monitored by their State professional health program due to substance-related impairment participated in guided focus group discussions. Participation was anonymous. Discussions were transcribed from nine separate focus groups, lasting 60–90 minutes each. Qualitative analyses were conducted to examine themes. All participants were diagnosed with substance dependence, and 69.1% of them endorsed a history of misusing prescription drugs. Participants documented five primary reasons for prescription drug misuse: 1) to manage physical pain, 2) to manage emotional/psychiatric distress, 3) to manage stressful situations, 4) for recreational purposes, and 5) to avoid withdrawal symptoms. Our results emphasize the importance of self-medication as a leading reason for misusing prescription medications, though recreational use was also an important factor. Prevention efforts targeting prescription drug misuse among physicians should be initiated during medical training, with continuing education occurring throughout the physicians’ careers.