患有物质使用障碍的家庭医学医生：一项为期5年的结果研究。
Family Medicine Physicians With Substance Use Disorder: A 5-year Outcome Study.
作者信息
Rose John S, Campbell Michael D, Yellowlees Peter, Skipper Gregory E, DuPont Robert L
机构信息
University of California, Davis Health System, Sacramento, CA (JSR, PY); Institute for Behavior and Health, Inc., Rockville, MD (MDC, RD); and Promises Treatment Centers, Santa Monica, CA (GES).
出版信息
J Addict Med. 2017 Mar/Apr;11(2):93-97. doi: 10.1097/ADM.0000000000000278.
OBJECTIVES
There is little published evidence on how well family medicine physicians (FMPs) with substance use disorder (SUD) perform in Physician Health Programs (PHPs). We examined outcomes for FMP compared with non-FMP physicians.
METHODS
This study utilized data from a 5-year, longitudinal, cohort study involving 904 physicians with diagnoses of SUD consecutively admitted to one of 16 state PHPs between 1995 and 2001. We compared 175 FMPs to 687 other physicians. Outcome measures were relapse, successful completion of monitoring contract at 5 years, and licensed and employed at 5 years.
RESULTS
Of the 3 outcome variables measured: relapse, successful completion of monitoring contract at 5 years, and licensed and employed at 5 years, FMPs had similar rates of success on all variables except monitoring contract completion at 5 years when compared with the other physician cohort.
CONCLUSIONS
In this study, FMPs with SUD do as well as other physicians in PHPs at 5 years. However, FMPs were less likely to complete the monitoring contract at 5 years as compared to the other physician cohort.
目的
关于患有物质使用障碍（SUD）的家庭医学医生（FMPs）在医师健康项目（PHPs）中的表现，几乎没有公开的证据。我们比较了FMPs与非FMP医生的结果。
方法
本研究利用了一项为期5年的纵向队列研究的数据，该研究涉及1995年至2001年间连续被16个州的PHPs之一收治的904名被诊断为SUD的医生。我们将175名FMPs与687名其他医生进行了比较。结果指标包括复发、5年时成功完成监测合同以及5年时获得执照并就业。
结果
在所测量的3个结果变量中：复发、5年时成功完成监测合同以及5年时获得执照并就业，与其他医生队列相比，FMPs在所有变量上的成功率相似，但5年时监测合同的完成情况除外。
结论
在本研究中，患有SUD的FMPs在5年时在PHPs中的表现与其他医生一样好。然而，与其他医生队列相比，FMPs在5年时完成监测合同的可能性较小。
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