Hassan Tariq M, Ahmed Syed O, White Alfred C, Galbraith Niall
Birmingham and Solihull Mental Health NHS Trust, Birmingham.
Clin Med (Lond). 2009 Aug;9(4):327-32. doi: 10.7861/clinmedicine.9-4-327.
A postal survey of 3512 doctors in Birmingham was carried out to assess attitudes to becoming mentally ill. The response rate for the questionnaire was 70% (2462 questionnaires). In total, 1807 (73.4%) doctors would choose to disclose a mental illness to family and friends rather than to a professional. Career implications were cited by 800 (32.5%) respondents as the most frequent reason for failure to disclose. For outpatient treatment, 51.1% would seek formal professional advice. For inpatient treatment, 41.0% would choose a local private facility, with only 21.1% choosing a local NHS facility. Of respondents 12.4% indicated that they had experienced a mental illness. Stigma to mental health is prevalent among doctors. At present there are no clear guidelines for doctors to follow for mental healthcare. Confidential referral pathways to specialist psychiatric care for doctors and continuous education on the vulnerability of doctors to mental illness early on in medical training is crucial.
对伯明翰的3512名医生进行了一项邮政调查，以评估他们对患精神疾病的态度。问卷的回复率为70%（2462份问卷）。总共有1807名（73.4%）医生会选择向家人和朋友而非专业人士透露自己的精神疾病。800名（32.5%）受访者认为职业影响是不透露病情的最常见原因。对于门诊治疗，51.1%的人会寻求正式的专业建议。对于住院治疗，41.0%的人会选择当地的私立机构，只有21.1%的人选择当地的国民保健服务机构。12.4%的受访者表示他们曾经历过精神疾病。医生中对心理健康的污名化现象很普遍。目前没有明确的指导方针供医生遵循以进行心理保健。为医生建立保密的转介至专科精神科护理的途径，并在医学培训早期就对医生易患精神疾病的情况进行持续教育至关重要。
