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...
Guardado en:
| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=13744 |
| todos_str_mv |
1221 13743 Artículo original HospLagClinMed spa UNCuyo FCM |
|---|---|
| descriptores_str_mv |
Actitud frente a la salud Autocuidado Diseases Enfermedad Estado de salud Health condition Médicos Médicos enfermos Proceso Salud-Enfermedad Relaciones interprofesionales Rol del Médico Sick Physicians |
| disciplina_str_mv |
Ciencias médicas |
| titulo_str_mv |
Cuando el médico es el paciente When the physician is the pacient |
| autor_str_mv |
Elaskar, María Cielo Amira Salomón, Susana Elsa |
| description_str_mv |
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. Objetivos: Determinar el comportamiento de los médicos ante su propio proceso de salud-enfermedad-atención y sobre el ejercicio del rol médico ante un colega. Materiales y Métodos: Estudio protocolizado, descriptivo, observacional a través de una encuesta validada, autoadministrada y anónima. Se incluyeron médicos de un hospital general de agudos de Mendoza. La encuesta incluía datos sociodemográficos, percepción del estado de salud (ES), actitud ante propia enfermedad (ENF) y colegas, principales problemas de salud (PrS), controles de salud y efecto en el ejercicio profesional. Análisis estadístico: medidas de tendencia central, de dispersión e IC 95%. Resultados: Se incluyeron 120 médicos. 60% eran mujeres. Edad promedio: 44.8 años (DS±5.6). Pertenecían a especialidades clínicas 88%. Cumpliendo en promedio 45.6 hs/sem (DS±8.2). Referían sentirse satisfechos en el trabajo 63%. Percibían su ES como BUENO el 57%. Presentaban algún PrS el 60%, los más frecuentes: obesidad, ansiedad, hipertensión y alteraciones tiroideas. Más del 75% refieren que es difícil para los médicos admitir la ENF. La misma condicionó el ejercicio profesional POCAS VECES en la mitad. En los últimos 2 años el 47% NUNCA presentó PrS. Más del 80% refieren estar DE ACUERDO en que el ES afecta la atención de los pacientes. Se consideró que los problemas somáticos tienen menos impacto que los mentales. El 65% refieren empeoramiento de su ES por la actividad profesional y la mitad presentó licencia por enfermedad. Uno de cada dos SIEMPRE fue a trabajar estando enfermo, por lo cual les hubiera hecho certificado laboral a sus pacientes. Ante un PrS el 93% se automedican y ante un PrS serio o que no se resuelve, el 62% buscará ayuda de otro profesional. 8 de cada 10 está vacunado y solo el 75% se vacunó para la gripe. El 70% NO se realiza controles laborales, 42% NO realiza ejercicio físico y 15% fuma. El 45% NO tiene médico de cabecera. En los últimos 5 años solo por año el 17% realizó controles de rutina, 20% controles ginecológicos y 7% mamografía. Como médico la mitad percibió beneficios al ser atendido y el 16% refieren que los revisan menos. Se respeta la confidencialidad SIEMPRE en el 43% y se comentan PrS de compañeros A MENUDO en el 45%. La mitad no nota diferencia al atender a otro médico, 22% lo sienten como un examen y a 15% los incómoda. Se sienten NADA preparados para atender a colegas 20%. Están DE ACUERDO que médicos enfermos deben ser atendidos por profesionales específicamente formados, contar con apoyo especial y trabajar en equipo. Ante un problema informal de parte de un colega, el 78% lo deriva al consultorio sin turno. El 90% NO cobraría honorarios a un colega. Conclusiones: Existe una disociación entre lo que indica el médico y lo que hace cuando él es el paciente. Cuidamos tanto la salud del otro, que en muchas ocasiones se deja de lado la propia. Creemos que esto debería hacernos reflexionar sobre el rol del médico comopaciente y como médicos cuando atendemos a nuestros colegas. |
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Textual: Revistas |
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article |
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Revista Médica Universitaria |
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Revista Médica Universitaria |
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r-1221 |
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Revista Médica Universitaria |
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Vol. 15, no. 1 |
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Vol. 15, no. 1 |
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textuales |
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Articulos |
| title_full |
Cuando el médico es el paciente |
| title_fullStr |
Cuando el médico es el paciente Cuando el médico es el paciente |
| title_full_unstemmed |
Cuando el médico es el paciente Cuando el médico es el paciente |
| description |
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. |
| dependencia_str_mv |
Facultad de Ciencias Médicas |
| title |
Cuando el médico es el paciente |
| spellingShingle |
Cuando el médico es el paciente Actitud frente a la salud Autocuidado Diseases Enfermedad Estado de salud Health condition Médicos Médicos enfermos Proceso Salud-Enfermedad Relaciones interprofesionales Rol del Médico Sick Physicians Elaskar, María Cielo Amira Salomón, Susana Elsa |
| topic |
Actitud frente a la salud Autocuidado Diseases Enfermedad Estado de salud Health condition Médicos Médicos enfermos Proceso Salud-Enfermedad Relaciones interprofesionales Rol del Médico Sick Physicians |
| topic_facet |
Actitud frente a la salud Autocuidado Diseases Enfermedad Estado de salud Health condition Médicos Médicos enfermos Proceso Salud-Enfermedad Relaciones interprofesionales Rol del Médico Sick Physicians |
| author |
Elaskar, María Cielo Amira Salomón, Susana Elsa |
| author_facet |
Elaskar, María Cielo Amira Salomón, Susana Elsa |
| title_sort |
Cuando el médico es el paciente |
| title_short |
Cuando el médico es el paciente |
| url |
https://bdigital.uncu.edu.ar/fichas.php?idobjeto=13744 |
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3 |
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Biblioteca Digital |
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Biblioteca Digital |
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Artículo de Revista |
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Sistema Integrado de Documentación |
| indexed_str |
2023-04-25 00:35 |
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1764120144614785024 |
