Mandell W J
Physician Exec. 1994 May;20(5):7-14.
The 1988 California Administrative Code requiring all acute care medical staffs to provide assistance to impaired physicians has not resulted in an increase in the annual census in the Medical Board of California Diversion Program. In part, this lack of an increase is due to the failure of some hospitals to form physician aid committees and to the poor functioning of such committees in other hospitals. The common reasons for these deficiencies are that the medical staff leadership does not think there are any impaired physicians on staff and that they don't know what the committee would do if it were formed. This attitude demonstrates a lack of appreciation for the prevalence of impaired physicians and the tremendous amount of work required (establishing policies and procedures) to identify and help them. This article discusses the prevalence of the impaired physician, the types of impaired physicians, a "cookbook" approach to managing these physicians, and the success of intervention.
1988年加利福尼亚州行政法规要求所有急症护理医务人员向受损医生提供援助，但这并未使加利福尼亚州医疗委员会转移项目的年度普查人数增加。部分原因在于，一些医院未能组建医生援助委员会，而其他医院的此类委员会运作不佳。这些缺陷的常见原因是，医务人员领导层认为其员工中不存在受损医生，并且他们不知道如果组建委员会，该委员会会做些什么。这种态度表明对受损医生的普遍性以及识别和帮助他们所需的大量工作（制定政策和程序）缺乏认识。本文讨论了受损医生的普遍性、受损医生的类型、管理这些医生的“实用指南”方法以及干预的成效。
