Gupta Geetika, Schleinitz Mark D, Reinert Steven E, McGarry Kelly A
Graduate of the general internal medicine residency program, Alpert Medical School at Brown University and works in the Division of Hospital Medicine, Rhode Island Hospital.
R I Med J (2013). 2013 May 1;96(5):43-7.
Little is known about lifestyle choices and preventive healthcare seeking behaviors among resident physicians. Residents function under unusual working conditions requiring extensive duty hours. This may significantly affect attentiveness to personal health and wellness. In this study, we surveyed residents across multiple training programs to compare lifestyle choices and access to preventive healthcare.
Resident physicians affiliated with Brown University, Providence, Rhode Island, were surveyed between February and April 2009 regarding lifestyle habits and experiences with primary care. We evaluated the relationships between training program and established primary care on health behaviors.
Residents were in one of 5 programs: internal medicine, medicine/pediatrics, emergency medicine, surgery or pediatrics. Respondents slept an average of 6.7 hours per day and worked an average of 70 hours per week, with surgical residents sleeping the shortest and working the longest hours (p<0.001 for both). An average of 58.8% of residents indicated having a primary care physician. This rate was lowest among surgery residents at 37% (p=0.081). Rates of screening with regards to blood pressure, cholesterol and cervical cancer were significantly higher among residents maintaining primary care (p<0.001). A lack of time was the most common barrier to obtaining primary care.
Surgical residents may have unique barriers to healthcare seeking behaviors, such as longer work hours. Residents with established primary care had significantly higher rates of adherence to preventive screening. Residency programs should address barriers to accessing healthcare for trainees, particularly among surgical programs.
对于住院医师的生活方式选择和预防性医疗保健寻求行为，我们了解甚少。住院医师在要求长时间值班的特殊工作条件下工作。这可能会显著影响对个人健康和幸福的关注。在本研究中，我们对多个培训项目的住院医师进行了调查，以比较他们的生活方式选择和获得预防性医疗保健的情况。
2009年2月至4月，对罗德岛普罗维登斯布朗大学附属的住院医师就生活习惯和初级保健经历进行了调查。我们评估了培训项目与已建立的初级保健对健康行为的关系。
住院医师分属五个项目之一：内科、内科/儿科、急诊医学、外科或儿科。受访者平均每天睡眠6.7小时，平均每周工作70小时，外科住院医师睡眠时间最短，工作时间最长（两者p<0.001）。平均58.8%的住院医师表示有初级保健医生。这一比例在外科住院医师中最低，为37%（p=0.081）。在有初级保健的住院医师中，血压、胆固醇和宫颈癌筛查率显著更高（p<0.001）。缺乏时间是获得初级保健最常见的障碍。
外科住院医师在寻求医疗保健行为方面可能有独特的障碍，比如工作时间更长。有初级保健的住院医师预防性筛查的依从率显著更高。住院医师培训项目应解决学员获得医疗保健的障碍，尤其是外科项目中的障碍。
