Rø Karin Isaksson, Aasland Olaf Gjerløw
LEFO - Legeforskningsinstituttet.
Tidsskr Nor Laegeforen. 2016 Feb 23;136(4):313-6. doi: 10.4045/tidsskr.15.0435.
The health condition and health-related behaviour of doctors are important to the doctors themselves as well as for their treatment of patients. The collegial support scheme is a county-based and easily accessible health and care service for doctors. We therefore wanted to describe the framework and functions of this scheme and examine its utility.
Fourteen focus-group interviews with a total of 61 peer counsellors from all the counties were conducted. The interviews were recorded, transcribed and analysed with the aid of systematic text condensation.
The framework--easy accessibility, a readily available offer of up to three sessions, a high degree of confidentiality and informal contact--was emphasised as crucial for doctors to make use of the scheme. The peer counsellors described their role as that of a listener and supportive helper. They helped bring clarity and discuss possible needs for further follow-up or treatment of numerous different and frequently complex issues. The peer counsellors highlighted three benefits in particular: the scheme helps raise awareness by legitimising help-seeking behaviour among doctors, it is a contingency scheme, and it eases the burden by lowering the threshold to seeking out further advice and treatment.
A systematic evaluation of the collegial support scheme is important for an understanding of the totality of the collegial health and care services. The collegial support scheme may lower the threshold to seeking help, and encourage some doctors to seek necessary treatment.
医生的健康状况和与健康相关的行为对医生自身以及他们对患者的治疗都很重要。同行支持计划是一项以县为基础、医生易于获得的健康与护理服务。因此，我们想要描述该计划的框架和功能，并检验其效用。
对来自所有县的61名同伴咨询师进行了14次焦点小组访谈。访谈进行了录音、转录，并借助系统文本浓缩法进行了分析。
该计划的框架——易于获得、提供多达三次的咨询服务、高度保密以及非正式接触——被强调为医生利用该计划的关键因素。同伴咨询师将他们的角色描述为倾听者和支持助手。他们帮助澄清问题，并讨论对众多不同且往往复杂的问题进行进一步跟进或治疗的可能需求。同伴咨询师特别强调了三个好处：该计划通过使医生寻求帮助的行为合法化来提高意识水平，它是一项应急计划，并且通过降低寻求进一步建议和治疗的门槛来减轻负担。
对同行支持计划进行系统评估对于理解同行健康与护理服务的整体情况很重要。同行支持计划可能会降低寻求帮助的门槛，并鼓励一些医生寻求必要的治疗。
