Cuando el médico es el paciente
Objectives: Determine the behavior of physicians in their own health care disease process and about the exercise of the medical role with a colleague. Material and methods: Protocolized, descriptive, observational study, through a validated, self-administered and anonymous survey. Physicians of the...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , |
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| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=13744 |
| Sumario: | Objectives: Determine the behavior of physicians in their own health care disease process and about the exercise of the medical role with a colleague. Material and methods: Protocolized, descriptive, observational study, through a validated, self-administered and anonymous survey. Physicians of the acute general hospital of Mendoza were included. The survey included sociodemographic data, perception of health condition, attitude to own disease and colleagues, main diseases, health controls and effect on professional practice. Statistic analysis: measures of central tendency, of dispersion and CI 95%. Results: 120 physicians were included. 60% were women. Average age 44.8 (±5.6). 88% did clinical specialties. On average, they worked 45.6 hrs/week (SD±8.2). 63% felt satisfied at work. 57% perceived their health condition as good. 60% had any health problem (HP), the most frequent were: obesity, anxiety, hypertension, and thyroid disorders. More than 75% referred that it is difficult for physicians to admit illness. 47% reported not having HP during the last 2 years. More than 80% agreed that their health condition affected medical care. Somatics problems appear to have less impact than mental problems. 65% reported worsening of their health condition due to professional activity and half presented sick leaves in this period. One of two, always worked being sick, for which he would have made instead of a work certificate to his patients. 93% self-medicated and, when facing an HP they can not resolve, 62% looked for the help of other professional. 8 out of 10 are vaccinated and only 75% have been vaccinated for the flu. 70% do not undergo health check-ups, 42% do not do exercise and 15% smoke. 45% do not have Primary Care Physicians (PCP). In the last 5 years, only 17% performed routine checks, 20% gynecological controls and 7% mammography. As physicians, half saw benefits when treated and 16% reported that they received a less physical examination; 43% always respected confiden-tiality and 45% commented HP with colleagues. Half of them do not notice a difference when treating another physician, 22% feel it as an exam and 15% feel uncomfortable. 20% do not feel prepared to treat other physicians. They mostly agree that sick physicians should be treated by specifically trained professionals, with special support and working as a team. When informally referred a problem by a colleague, 78% treated him in their office without an appointment. 90% would not charge fees to a colleague. Conclusions: There is a dissociation between what the physician prescribes and what he does when he is the patient. We care so much for the health of others, that in many occasions our own health is left aside. We believe that this should make us reflect on the role of the physician as a patient and as physicians when treating our colleagues. |
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