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患有精神健康问题和成瘾的医生和牙医:从业者健康计划的治疗结果。

Doctors and dentists with mental ill health and addictions: outcomes of treatment from the Practitioner Health Programme.

机构信息

Academic Department of Psychological Medicine, King's College London, Weston Education Centre, London, UK.

出版信息

J Ment Health. 2013 Jun;22(3):237-45. doi: 10.3109/09638237.2012.734647. Epub 2013 Jan 16.

Abstract

BACKGROUND

The Practitioner Health Programme (PHP) was developed to provide expert assessment and support to practitioners (doctors and dentists) with mental and physical health problems affecting their ability to work.

AIMS

This paper examines the treatment outcomes of the practitioner-patients utilising PHP.

METHOD

We assessed outcomes on consecutive patients using the PHP. The Clinical Outcomes in Routine Evaluation Outcome Measure and the Work and Social Adjustment Scale were completed at initial assessment, 8- and 26-week follow-up. We also report the percentages of practitioner-patients off work at each interval, and examine global improvement and satisfaction scores for both follow-up intervals.

RESULTS

Two hundred practitioner-patients entered PHP due to a mental health or substance abuse problem and subsequently completed questionnaires at baseline; 102 patients returned questionnaires after 8 weeks and 95 returned questionnaires after 26 weeks. Results suggested that patients reported less distress and less impairment of functioning at 8 and 26 weeks. Scores for satisfaction and global improvement were consistently high.

CONCLUSIONS

The PHP is providing a valuable service to practitioner-patients, significantly helping to decrease levels of distress and improve work and social functioning.

摘要

背景

从业者健康计划(PHP)旨在为有心理健康和生理健康问题影响其工作能力的从业者(医生和牙医)提供专业评估和支持。

目的

本文探讨了利用 PHP 的从业者患者的治疗结果。

方法

我们使用 PHP 对连续患者进行了评估。在初始评估、8 周和 26 周随访时使用临床结局在常规评估中的结果测量和工作和社会适应量表进行评估。我们还报告了每个时间间隔内未工作的从业者患者的百分比,并对两个随访间隔的总体改善和满意度评分进行了检查。

结果

由于心理健康或药物滥用问题,200 名从业者患者进入 PHP,并在基线时完成了问卷;102 名患者在 8 周后和 95 名患者在 26 周后返回了问卷。结果表明,患者在 8 周和 26 周时报告的痛苦和功能障碍程度较低。满意度和总体改善评分始终很高。

结论

PHP 为从业者患者提供了有价值的服务,显著有助于降低痛苦水平,改善工作和社会功能。

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