医生工作相关精神健康不良的差异报告。

Differential reporting of work-related mental ill-health in doctors.

机构信息

Centre for Occupational and Environmental Health, Centre for Epidemiology, Division of Population Health, School of Health Sciences, University of Manchester, Manchester M13 9PL, UK.

Centre for Biostatistics, Centre for Epidemiology, Division of Population Health, School of Health Sciences, University of Manchester, Manchester M13 9PL, UK.

出版信息

Occup Med (Lond). 2017 Oct 1;67(7):522-527. doi: 10.1093/occmed/kqx109.

DOI:10.1093/occmed/kqx109

PMID:29016829

Abstract

BACKGROUND

Evidence suggests that the medical profession is reluctant to report mental ill-health despite its high prevalence.

AIMS

To compare differential reporting patterns in the incidence of work-related mental ill-health (WRMIH) affecting doctors with selected comparison occupational groups, as determined by surveillance by general practitioners (GPs), specialist psychiatrists and occupational physicians (OPs).

METHODS

New cases of medically reported WRMIH were reported prospectively between 2006 and 2009 by GPs, psychiatrists and OPs as part of The Health and Occupation Research (THOR) network. For GP and psychiatry reporting schemes, incidence rates (IRs) for doctors, nurses, teachers, corporate managers and protective service workers were calculated using information from the Labour Force Survey as the denominator. In OP surveys, participating reporters provided denominator information to calculate IRs for doctors, nurses and teachers.

RESULTS

Average annual IRs expressed per 100000 person/years employed as reported by GPs, psychiatrists and OPs, respectively, were: doctors (309, 971, 430), nurses (891, 208, 670), teachers (1040, 136, 210) and for GPs and psychiatrists, respectively, were: protective service workers (1432, 721) and corporate managers (428, 90). Psychiatrists reported a higher incidence of WRMIH in doctors, whereas GPs reported higher incidences of WRMIH in other occupations (chi-squared test, P < 0.001).

CONCLUSIONS

The distribution of the incidence of new cases reported across different schemes suggests a differential reporting pattern of WRMIH in doctors. The higher IR for doctors in psychiatrist-reported WRMIH could be due to factors such as disease severity and bypassing formal referral channels.

摘要

背景

有证据表明，尽管精神健康问题普遍存在，医学界仍不愿报告精神健康问题。

目的

通过全科医生（GP）、精神科专家和职业医生（OP）的监测，比较与选定比较职业群体相关的工作相关精神健康不良（WRMIH）发生率的差异报告模式。

方法

作为 The Health and Occupation Research (THOR) 网络的一部分，GP、精神科医生和 OP 于 2006 年至 2009 年期间前瞻性报告新的医学报告 WRMIH 病例。对于 GP 和精神病学报告方案，使用劳动力调查的信息作为分母，计算医生、护士、教师、企业经理和保护服务人员的发病率（IR）。在 OP 调查中，参与报告的人员提供分母信息，以计算医生、护士和教师的 IR。

结果

GP、精神科医生和 OP 分别报告的平均年发病率（IR），以每 100000 名受雇人员/年表示，分别为：医生（309、971、430）、护士（891、208、670）、教师（1040、136、210）和 GP 和精神科医生，分别为：保护服务人员（1432、721）和企业经理（428、90）。精神科医生报告医生的 WRMIH 发病率较高，而 GP 报告其他职业的 WRMIH 发病率较高（卡方检验，P<0.001）。