Clark A W, Kay J, Clark D C
Department of Psychiatry, University of Cincinnati Medical Center, Ohio.
J Med Educ. 1988 Jan;63(1):44-50. doi: 10.1097/00001888-198801000-00008.
Substance abuse may be an occupational hazard for physicians, yet the mechanisms of this hazard remain obscure. The present authors tested the hypothesis that a potential source of psychoactive drugs for the physician trainees and other health professionals is prescription writing by house officers. Furthermore, the hypothesis was advanced that house officers may write significant numbers of psychoactive prescriptions for their family members and friends. Of 565 house officers at a medical center, 339 responded to a questionnaire designed to determine the number of prescriptions each had written for nonpatients in the previous eight months for several categories of psychoactive drugs. The largest number of such prescriptions was written for family members and friends, and the second largest number was for fellow house officers. Narcotics were the most frequently prescribed psychoactive drugs. When compared with their representation in the sample, first-year residents and residents in surgery and surgical subspecialties wrote significantly more psychoactive drug prescriptions than other residents. Implications of these findings for residents are discussed.
药物滥用可能是医生的职业危害，但这种危害的机制仍不清楚。本文作者检验了一个假设，即实习医生和其他卫生专业人员获取精神活性药物的一个潜在来源是住院医生开处方。此外，还提出了一个假设，即住院医生可能会为其家人和朋友开出大量精神活性药物处方。在一家医疗中心的565名住院医生中，339人回复了一份问卷，该问卷旨在确定他们在过去八个月里为非患者开出的几类精神活性药物的处方数量。这类处方开出最多的是给家人和朋友，其次是给住院医生同事。麻醉药品是最常被处方的精神活性药物。与样本中的比例相比，一年级住院医生以及外科和外科亚专科的住院医生开出的精神活性药物处方明显多于其他住院医生。本文讨论了这些发现对住院医生的影响。
