Lemon S J, Sienko D G, Alguire P C
Department of Medicine, Michigan State University, East Lansing.
Arch Intern Med. 1992 Nov;152(11):2238-42.
Workplace drug testing programs are being increasingly implemented in both the public and private sectors, and health care workers are unlikely to be excluded from such testing.
A survey of attending physicians' attitudes toward mandatory hospital-based urine drug testing was undertaken in a medium-sized, midwestern county.
Seventy-four percent (272/368) of the sample responded. Seventy-two percent of the subjects believed physician drug use to be a minor or nonexistent problem, 38% lacked confidence in the testing procedure, and 60% believed that testing infringed on the physician's right to privacy; yet 87% would submit to testing if required by a hospital. Forty-five percent of respondents agreed with the policy of mandatory testing for physicians with hospital privileges, 34% disagreed, and 21% were uncertain. Respondents were more supportive of mandatory testing of other health care and non-health care occupations than for themselves. Support for testing was greatest for illicit drugs. If implemented, physicians preferred mandatory testing to be performed by hospital medical staff independent of hospital administration.
Further education and discussion within the physician community appears to be necessary before widespread mandatory workplace urine drug testing of physicians is implemented.
公共部门和私营部门都越来越多地实施工作场所药物检测项目，医护人员不太可能被排除在这类检测之外。
在中西部一个中等规模的县对主治医生对基于医院的强制性尿液药物检测的态度进行了一项调查。
74%（272/368）的样本做出了回应。72%的受试者认为医生吸毒是一个小问题或不存在问题，38%对检测程序缺乏信心，60%认为检测侵犯了医生的隐私权；然而，如果医院要求，87%的人会接受检测。45%的受访者同意对享有医院特权的医生进行强制检测的政策，34%不同意，21%不确定。与对自己进行检测相比，受访者对其他医护职业和非医护职业进行强制检测更支持。对非法药物检测的支持度最高。如果实施，医生们更倾向于由独立于医院管理层的医院医务人员进行强制检测。
在对医生广泛实施强制性工作场所尿液药物检测之前，医生群体内部似乎有必要进行进一步的教育和讨论。
