Kay Margaret, Mitchell Geoffrey, Clavarino Alexandra, Frank Erica
The University of Queensland, Herston, Australia.
Aust J Prim Health. 2012;18(2):158-65. doi: 10.1071/PY11003.
Health access behaviours of doctors need to be understood if the profession is to adequately respond to concerns raised about doctors' health. There has been limited investigation of these issues and most qualitative studies have focussed on doctors who have been seriously unwell. This research project was designed to explore doctors' attitudes to health access and the barriers they experience using six independently facilitated focus groups (37 general practitioners) in Brisbane, Australia. Themes that emerged using inductive thematic analysis were grouped into three key categories. The findings challenge current representations of doctors' health within the medical literature. Doctors in this study reported positive attitudes towards their own health care. Health access, however, was difficult because of the barriers they encountered. These barriers are described in detail revealing the rationale used by doctors seeking care. A framework of patient, provider and profession barrier domains is developed to enable a comparison between the health access barriers of the doctor and those experienced by the general community. The complexity is highlighted as the socio-cultural factors woven through these barrier domains are recognised. The potential for this framework to provide a structure for future interventions to enhance doctors' health access is discussed.
如果医学界想要充分回应有关医生健康问题的担忧，就需要了解医生的健康就医行为。对这些问题的调查有限，大多数定性研究都集中在病情严重的医生身上。本研究项目旨在通过在澳大利亚布里斯班开展六个独立组织的焦点小组（37名全科医生），探讨医生对健康就医的态度以及他们遇到的障碍。通过归纳主题分析得出的主题分为三个关键类别。这些发现对医学文献中目前关于医生健康的表述提出了挑战。本研究中的医生对自己的医疗保健持积极态度。然而，由于他们遇到的障碍，获得医疗服务很困难。详细描述了这些障碍，揭示了寻求医疗服务的医生所采用的理由。建立了一个患者、提供者和职业障碍领域的框架，以便能够比较医生的健康就医障碍与普通人群所经历的障碍。随着认识到贯穿这些障碍领域的社会文化因素，其复杂性也凸显出来。讨论了该框架为未来改善医生健康就医的干预措施提供结构的潜力。
