Chen Julie Y, Tse Eileen Y Y, Lam Tai Pong, Li Donald K T, Chao David V K, Kwan Chi Wai
Family Medicine Unit, The University of Hong Kong, 3/F Ap Lei Chau Clinic, 161 Main Street, Ap Lei Chau, Hong Kong, PR China.
BMC Public Health. 2008 May 28;8:183. doi: 10.1186/1471-2458-8-183.
Among Western countries, it has been found that physicians tend to manage their own illnesses and tend not have their own independent family physicians. This is recognized as a significant issue for both physicians and, by extension, the patients under their care, resulting in initiatives seeking to address this. Physicians' personal health care practices in Asia have yet to be documented.
An anonymous cross-sectional postal questionnaire survey was conducted in Hong Kong, China. All 9570 medical practitioners in Hong Kong registered with the Hong Kong Medical Council in 2003 were surveyed. Chi-square tests and logistic regression models were applied.
There were 4198 respondents to the survey; a response rate of 44%. Two-thirds of respondents took care of themselves when they were last ill, with 62% of these self-medicating with prescription medication. Physicians who were graduates of Hong Kong medical schools, those working in general practice and non-members of the Hong Kong College of Family Physicians were more likely to do so. Physician specialty was found to be the most influential reason in the choice of caregiver by those who had ever consulted another medical practitioner. Only 14% chose consultation with a FM/GP with younger physicians and non-Hong Kong medical graduates having a higher likelihood of doing so. Seventy percent of all respondents believed that having their own personal physician was unnecessary.
Similar to the practice of colleagues in other countries, a large proportion of Hong Kong physicians self-manage their illnesses, take self-obtained prescription drugs and believe they do not need a personal physician. Future strategies to benefit the medical care of Hong Kong physicians will have to take these practices and beliefs into consideration.
在西方国家，人们发现医生倾向于自行处理自己的疾病，并且往往没有自己独立的家庭医生。这被认为对医生以及由此延伸到他们所照顾的患者来说都是一个重大问题，从而引发了旨在解决这一问题的倡议。亚洲医生的个人医疗保健做法尚未有文献记载。
在中国香港进行了一项匿名的横断面邮政问卷调查。对2003年在香港医务委员会注册的所有9570名执业医生进行了调查。应用了卡方检验和逻辑回归模型。
有4198名受访者参与了调查，回复率为44%。三分之二的受访者在最近生病时自行照顾自己，其中62%使用处方药自我治疗。毕业于香港医学院的医生、从事全科医疗的医生以及非香港家庭医生学院成员更有可能这样做。研究发现，医生的专业是那些曾经咨询过其他医生的人选择照顾者时最具影响力的原因。只有14%的人选择咨询家庭医生/全科医生，年轻医生和非香港医学毕业生这样做的可能性更高。70%的受访者认为没有必要有自己的私人医生。
与其他国家同行的做法类似，很大一部分香港医生自行处理疾病、自行获取处方药并认为他们不需要私人医生。未来有益于香港医生医疗保健的策略将不得不考虑这些做法和观念。
