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监测医生的药物问题:参与者的态度

Monitoring physician drug problems: attitudes of participants.

作者信息

Knight John R, Sanchez Luis T, Sherritt Lon, Bresnahan Linda R, Silveria Jennifer M, Fromson John A

机构信息

Division on Addictions, Harvard Medical School, and Center for Adoloscent Substance Abuse Research, Children's Hospital, Boston, Massachusetts 02115, USA.

出版信息

J Addict Dis. 2002;21(4):27-36. doi: 10.1300/J069v21n04_03.

Abstract

The objective of this study was to measure satisfaction with a physician alcohol/drug and behavioral health monitoring program. Participating physicians rated the program's effectiveness, staff professionalism, monitoring and advocacy, relapse services, and sensitivity to women's issues. Correlations between satisfaction and successful recovery, source of referral, and legal involvement were computed. Responders' (N = 87, 82% male) contracts were 82% alcohol/drug and 9% behavioral health; 76% first contracts (no relapse). Sources of referral were self (32.2%), a friend/colleague (31%), the state medical board (14.9%), a hospital chief (11.5%), or a family member (3.4%). Satisfaction was associated with no relapse (mean rank = 47.6 vs. 30.0, p = .005), but not with gender (p = .47), type of contract (p = .39), source of referral (p = .75-.05), or board involvement (p = .24). Participants' reactions to the PHS program were influenced more by positive clinical outcome than other factors.

摘要

本研究的目的是衡量对一项医师酒精/药物及行为健康监测项目的满意度。参与的医师对该项目的有效性、工作人员的专业素养、监测与宣传、复发服务以及对女性问题的敏感度进行了评分。计算了满意度与成功康复、转诊来源以及法律介入之间的相关性。受访者(N = 87,82%为男性)的合同涉及82%的酒精/药物问题和9%的行为健康问题;76%为首次合同(无复发)。转诊来源包括自我转诊(32.2%)、朋友/同事(31%)、州医学委员会(14.9%)、医院院长(11.5%)或家庭成员(3.4%)。满意度与无复发相关(平均秩次 = 47.6对30.0,p = .005),但与性别(p = .47)、合同类型(p = .39)、转诊来源(p = .75 - .05)或委员会介入(p = .24)无关。与其他因素相比,参与者对公共卫生服务项目的反应更多地受到积极临床结果的影响。

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