Cappell Mitchell S
Division of Gastroenterology and Hepatology, MOB 233,William Beaumont Hospital, 3535 W.Thirteen Mile Road, Royal Oak, MI 48073, USA.
Perspect Biol Med. 2011 Spring;54(2):232-42. doi: 10.1353/pbm.2011.0021.
This article examines distinctive aspects of medical care experienced by a 55-year-old hospitalized for quintuple coronary artery bypass surgery who was also a senior physician-administrator (chief of gastroenterology) at the same hospital. The article describes eight distinctive aspects of administrator-physicians as patients, including special patient treatment; exalted patient expectations by hospital personnel; patient suppression of emotions; patient denial; self-doctoring; job stress contributing to disease; self-sacrifice to achieve better health; and rational medical decisions when not under stress. Health-care workers should recognize how these distinctive aspects of medical care and behavior affect administrator-physicians as patients, in order to mitigate their negative effects, potentiate their positive effects, and optimize the care of these patients.
本文探讨了一位55岁因进行冠状动脉搭桥手术住院的患者所经历的医疗护理的独特方面，该患者同时也是同一家医院的高级医师管理人员（胃肠病科主任）。文章描述了行政医师作为患者的八个独特方面，包括特殊的患者治疗；医院工作人员对患者的过高期望；患者对情绪的抑制；患者否认；自我诊疗；工作压力导致疾病；为实现更好的健康而自我牺牲；以及在没有压力时做出理性的医疗决策。医护人员应认识到医疗护理和行为的这些独特方面如何影响行政医师作为患者的情况，以便减轻其负面影响，增强其正面影响，并优化对这些患者的护理。
