Physicians' health care

Authors

DOI:

https://doi.org/10.31053/1853.0605.v80.n1.34537

Keywords:

Physicians, physician-patient relationship, organizational culture

Abstract

Introduction: The programs of the Medicine Careers of Córdoba do not describe aspects related to the management of the doctor-patient relationship when the patient is a colleague. The main objective is to describe these aspects. Material and methods: An observational, prospective, cross-sectional and analytical study was carried out. A validated survey was sent by email to doctors in Córdoba, Argentina. Results: Of the 225 physicians who responded, 76% did not have a family doctor. The youngest and those who attend in the public sphere made up this group (p<0,0002 and p<0.04 respectively). 86,2% self-medicated in the last year. Self-medication was more frequent among young physicians (p<0,0008) and with fewer years of professional practice (p<0,003). This group, regardless of whether they worked in the public or private sphere, continued to work despite having some disease and although they could have requested sick leave. The oldest doctors (p<0,0002) and with more than 25 years of professional practice experienced assisting colleagues (p<0,0002). 74,2% did not modify clinical care, but 82,7% answered that at some point they did commit more than usual. Conclusion: Young doctors do not have a family doctor, resort to self-medication, request less sick leave, even though they need it, and have little experience treating colleagues. Content should be incorporated during undergraduate and graduate medicine training that address the risks of illness and self-medication for physicians, how to seek the best care for their own health and that of their colleague.

Downloads

Download data is not yet available.

Author Biography

Ingrid Strusberg, National University of Córdoba. School of Medicine. Semiology. UHMI 2

Physician (MP: 24335/9). Rheumatology Specialist (CE: 9178). Doctor of Medicine and Surgery. Magister in Clinical Pharmacological Research. (Univ. Abierta Interamericana. Bs. As). Expert in Clinical Pharmacological Research. Member of the  Committee of Rheumatology of the CMPC. Member of the Academic Council of Rheumatology. FCM. UNC. University Professor in Health Sciences. FCM. UNC. Adjunct Professor by contest  of Semiology. FCM. UNC. Grants from the Secretary of Science and Technology of the UNC for various research projects on nephropathies and rheumatic diseases. Publications in peer-reviewed journals related to rheumatology and clinical trials in rheumatology. Principal investigator and sub investigator in more than 60 pharmacological clinical trials in Rheumatology. Category III of the Incentive Program for research teachers. Ministry of Education, Science and Technology. UNC.

References

Stanton J, Randal P. Developing a psychiatrist-patient relationship when both people are doctors: a qualitative study. BMJ Open. 2016 May 20;6(5):e010216. doi: 10.1136/bmjopen-2015-010216.

Gerada C. Doctors, suicide and mental illness. BJPsych Bull. 2018 Aug;42(4):165-168. doi: 10.1192/bjb.2018.11.

West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016 Nov 5;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X.

Henderson M, Brooks SK, del Busso L, et al. Shame! Selfstigmatisation as an obstacle to sick doctors returning to work: a qualitative study. BMJ Open 2012;2: e001776. doi:10.1136/bmjopen-2012-001776

Henderson M, Brooks SK, Del Busso L, Chalder T, Harvey SB, Hotopf M, Madan I, Hatch S. Shame! Self-stigmatisation as an obstacle to sick doctors returning to work: a qualitative study. BMJ Open. 2012 Oct 15;2(5):e001776. doi: 10.1136/bmjopen-2012-001776.

Dapueto JJ, Klasse E, Campos N, Rodríguez Andrada B, Romero Agüit S, Braquehais MD, Tolchinsky G, Pereira MT, Sarubbo L, Ceroni C, Sánchez N, Blanc L. Design and implementation of the Professional Wellbeing Programme of the Medical Council Association of Uruguay. Rev Colomb Psiquiatr (Engl Ed). 2021 Apr 12;52(1):45–50. English, Spanish. doi: 10.1016/j.rcp.2021.02.005.

Fawibe AE, Odeigah LO, Akande TM, Salaudeen AG, Olanrewaju I. Self-reported medical care seeking behaviour of doctors in Nigeria. Alexandria J Med. 2017;53(2):117-122. doi:10.1016/j.ajme.2016.04.003

Rosvold EO. Comentario de un caso: Doctor don´t treat thyself. WebM&M. Publicado en set 2004. [Citado 12 de agosto 2021] Disponible en: https://psnet.ahrq.gov/webmm/case/71/Doctor-Dont-Treat-Thyself

Kay M, Mitchell G, Clavarino A, Doust J. Doctors as patients: a systematic review of doctors' health access and the barriers they experience. Br J Gen Pract. 2008;58(552):501–508. doi: 10.3399/bjgp08X319486.

Schneck SA. "Doctoring" doctors and their families. JAMA. 1998 Dec 16;280(23):2039-42. doi: 10.1001/jama.280.23.2039.

Ministerio de Educación y Deportes. Profesiones reguladas por el Estado. Resolución 1314/07 [Internet]. 2007 [citado 12 Ago 2021]. Disponible en: http://repositorio.educacion.gov.ar/dspace/handle/123456789/77969/browse?value=Resolución+Ministerial+1314%2F07&type=normativa

Confederación Médica de la República Argentina. Código de ética. Capítulo XVI. De Los honorarios. Disponible en [12 agosto 2021] https://www.comra.org.ar/assets/images/cms/244137d29d571505be194a4573ae33cb.pdf

Federación Médico Gremial de la Provincia de Córdoba. “Análisis de Situación de la Salud en el Interior de la Provincia de Córdoba”. Set 2018. Disponible en [17 nov 2021] http://colmedrc.org/wp-content/uploads/2019/04/federacionmedica.pdf

Woolf K, Cave J, McManus IC, Dacre JE. 'It gives you an understanding you can't get from any book.' The relationship between medical students' and doctors' personal illness experiences and their performance: a qualitative and quantitative study. BMC Med Educ. 2007 Dec 5;7:50. doi: 10.1186/1472-6920-7-50.

Svantesson M, Carlsson E, Prenkert M, Anderzén-Carlsson A. 'Just so you know, the patient is staff': healthcare professionals' perceptions of caring for healthcare professional-patients. BMJ Open. 2016 Jan 19;6(1):e008507. doi: 10.1136/bmjopen-2015-008507.

Fox F, Harris M, Taylor G, Rodham K, Sutton J, Robinson B, Scott J. What happens when doctors are patients? Qualitative study of GPs. Br J Gen Pract. 2009 Nov;59(568):811-8. doi: 10.3399/bjgp09X472872.

Teng KA, Butler RS, Schramm S, Isaacson JH, Nielsen C, Paradis C. Physicians caring for physicians: the perspective of the primary care physician. South Med J. 2014;107(5):301-5. doi: 10.1097/SMJ.0000000000000095.

Forsythe M, Calnan M, Wall B. Doctors as patients: postal survey examining consultants and general practitioners adherence to guidelines. BMJ. 1999;319(7210):605-8. doi: 10.1136/bmj.319.7210.605.

Pathology Policy on Self requesting and result delivery directly to patients. [Citado 12 de agosto 2021] Disponible en: http://www.mtw.nhs.uk/wp-content/uploads/2018/09/results-to-patients-2.pdf

Ministerio de Educación y Deportes. Profesiones reguladas por el Estado. Resolución 1314/07 [Internet]. 2007 [citado 12 Ago 2021]. Disponible en: http://repositorio.educacion.gov.ar/dspace/handle/123456789/77969/browse?value=Resolución+Ministerial+1314%2F07&type=normativa

Klitzman R. Improving education on doctor-patient relationships and communication: lessons from doctors who become patients. Acad Med. 2006;81(5):447-53. doi: 10.1097/01.ACM.0000222271.52588.01.

Field R, Haslam D. Do you have your own doctor, doctor? Tackling barriers to health care. Br J Gen Pract. 2008;58(552):462-4. doi: 10.3399/bjgp08X302970.

Published

2023-03-31

How to Cite

1.
Strusberg I. Physicians’ health care. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2023 Mar. 31 [cited 2024 Jul. 17];80(1):25-8. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/34537

Issue

Section

Original Papers