Firth-Cozens J
Centre for Clinical Psychology & Healthcare Research, University of Northumbria of Newcastle, Newcastle Upon Tyne, UK.
Soc Sci Med. 2001 Jan;52(2):215-22. doi: 10.1016/s0277-9536(00)00221-5.
Concerns about the quality of medical care provided by health services appear to be increasing. Deficits in care are frequently found to be associated with stress and with the apparent lack of recognition of psychological problems when they occur in doctors. This paper looks briefly at the levels and sources of stress, depression and alcoholism in doctors, and the relationship of these to the care they provide. It goes on to use the research findings on causation to propose a system of organisational and individual primary and secondary interventions to address these psychological problems. The paper focusses upon a longitudinal study which follows up 314 medical students over 11 years, but also uses other relevant recent literature to discuss the issues that arise.
对医疗服务所提供医疗质量的担忧似乎在不断增加。人们经常发现医疗不足与压力以及医生出现心理问题时明显缺乏认知有关。本文简要探讨了医生的压力、抑郁和酗酒程度及根源，以及这些与他们所提供医疗服务的关系。接着，本文利用关于因果关系的研究结果，提出一个组织和个人层面的一级和二级干预系统，以解决这些心理问题。本文重点关注一项纵向研究，该研究对314名医学生进行了11年的跟踪调查，但也运用了其他近期相关文献来讨论出现的问题。
