一项针对神经科医生自我治疗及其家人治疗情况的调查。

A survey of neurologists on self-treatment and treatment of their families.

作者信息

Evans Randolph W, Lipton Richard B, Ritz Kristin A

机构信息

Department of Neurology and Neuroscience, Weill Medical College of Cornell University, New York, NY, USA.

出版信息

Headache. 2007 Jan;47(1):58-64. doi: 10.1111/j.1526-4610.2006.00627.x.

DOI:10.1111/j.1526-4610.2006.00627.x

PMID:17355495

Abstract

BACKGROUND

Although neurologists commonly self-treat for migraine and other conditions, little is known about the patterns of self-treatment by physicians in the United States.

OBJECTIVES

The aim was to obtain information about neurologist's self-treatment and treatment of family members and their attitudes about self-treatment by other physicians.

METHODS

A survey was performed among neurologists attending the Texas Neurological Society's Winter Conference using a questionnaire about self-treatment and treatment of family members during the prior 12 months and attitudes about self-treatment by other physicians.

RESULTS

Among 186 physicians invited to participate, the response rate was 48%. Although 76% reported having primary care physicians, neurologists reported the following behaviors: 38% self-diagnosed or self-treated medical conditions including migraine in 25%; 56% started themselves on prescription medications including 21% who used triptans and 15% who used migraine preventive medications; 33% ordered blood tests on themselves; and 20% ordered imaging studies on themselves. Sixty percent reported missing no work due to illness, 87% missed 2 days or less, and 99% reported missing 1 week or less. Eighty percent reported treating their family members for acute minor illnesses and 33% for chronic conditions. The following percentage of participants reported that they would be likely to self-diagnose and self-treat the following hypothetical illnesses: 70%, migraines which were not severe; 19%, new onset frequent headaches; and 48%, chronic daily headaches. The following percentage of participants agreed or strongly agreed that the following behaviors were acceptable for physicians: 94%, self-treat acute minor illnesses; 37%, self-treat chronic conditions; 42%, order blood test for diagnostic purposes; 40%, order imaging studies for diagnostic purposes; 87%, treat family members for acute minor conditions; and 36%, treat family members for chronic conditions.

CONCLUSIONS

Neurologists commonly treat themselves and family members.

摘要

背景

尽管神经科医生通常会自行治疗偏头痛和其他疾病，但对于美国医生的自我治疗模式却知之甚少。

目的

旨在获取有关神经科医生自我治疗及对家庭成员的治疗情况，以及他们对其他医生自我治疗的态度的信息。

方法

对参加德克萨斯神经学会冬季会议的神经科医生进行了一项调查，使用一份关于过去12个月内自我治疗及对家庭成员的治疗情况，以及对其他医生自我治疗的态度的问卷。

结果

在186名受邀参与的医生中，回复率为48%。尽管76%的医生报告有初级保健医生，但神经科医生报告了以下行为：38%的医生自行诊断或治疗包括25%的偏头痛在内的医疗状况；56%的医生自行开始服用处方药，其中21%使用曲坦类药物，15%使用偏头痛预防药物；33%的医生给自己进行血液检查；20%的医生给自己进行影像学检查。60%的医生报告没有因病缺勤，87%的医生缺勤2天或更少，99%的医生报告缺勤1周或更少。80%的医生报告为家庭成员治疗急性轻症疾病，33%的医生治疗慢性病。以下百分比的参与者报告称，他们可能会对以下假设疾病进行自我诊断和自我治疗：70%，非严重偏头痛；19%，新发频繁头痛；48%，慢性每日头痛。以下百分比的参与者同意或强烈同意以下行为对医生来说是可以接受的：94%，自我治疗急性轻症疾病；37%，自我治疗慢性病；42%，为诊断目的进行血液检查；40%，为诊断目的进行影像学检查；87%，为家庭成员治疗急性轻症疾病；36%，为家庭成员治疗慢性病。