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瑞士初级保健医生健康状况的横断面研究。

A cross-sectional study of the health status of Swiss primary care physicians.

机构信息

Institute for Family Medicine and Paediatrics, University of Geneva, Geneva, Switzerland.

Primary Care Division, Geneva University Hospital, Geneva, Switzerland.

出版信息

Sci Rep. 2021 Dec 6;11(1):23459. doi: 10.1038/s41598-021-02952-2.

Abstract

There is limited data on the general health of primary care physicians (PCPs). We aimed to assess the physical and psychological health of Swiss PCPs. We selected a random sample of 1000 PCPs in Western Switzerland. They were asked about their self-rated health status, all medical conditions experienced in the past five years, and the number of days they were hospitalized and off work in 2019. They were also asked whether they had their own general practitioner (GP) and seen a psychiatrist/psychologist in the past 12 months. A total of 503 PCPs were included in the study (women = 51%, GPs = 67%, pediatricians = 19%, gynecologists = 14%). Ninety-four percent considered themselves in good or very good health. In the past five years, PCPs suffered mostly from depression/anxiety (21%), burnout (21%), dyslipidemia (19%) and hypertension (17%). Male and older PCPs had more often cardiovascular disorders, younger PCPs and GPs had more often psychiatric disorders. They were 9% to have been hospitalized (15% for PCPs over 60) and 20% to have been off work (32% for PCPs under 45). Only 47% had their own GP (37% for GPs). They were 16% (mostly female and younger PCPs) to have consulted a psychiatrist/psychologist. In conclusion, although PCPs considered themselves to be in good health, a substantial proportion suffered from a medical condition, mainly psychiatric (depression or burnout) and/or cardiovascular disorders, or were recently hospitalized or off work. Only half had a GP for themselves. These results may be useful for implementing specific health strategies targeting PCPs.

摘要

关于初级保健医生(PCP)的一般健康状况的数据有限。我们旨在评估瑞士 PCP 的身心健康。我们在瑞士西部选择了一个由 1000 名 PCP 组成的随机样本。他们被问及自己的健康自评状况、过去五年经历的所有疾病以及 2019 年住院和休工的天数。他们还被问及是否有自己的全科医生(GP)以及在过去 12 个月内看过精神科医生/心理学家。共有 503 名 PCP 参与了这项研究(女性=51%,GP=67%,儿科医生=19%,妇科医生=14%)。94%的人认为自己身体健康或非常好。在过去的五年中,PCP 主要患有抑郁症/焦虑症(21%)、倦怠(21%)、血脂异常(19%)和高血压(17%)。男性和年长的 PCP 更常患有心血管疾病,年轻的 PCP 和 GP 更常患有精神疾病。他们有 9%的人住院(60 岁以上的 PCP 为 15%),20%的人休工(45 岁以下的 PCP 为 32%)。只有 47%的人有自己的 GP(GP 为 37%)。他们中有 16%(主要是女性和年轻的 PCP)咨询过精神科医生/心理学家。总之,尽管 PCP 认为自己身体健康,但相当一部分人患有疾病,主要是精神疾病(抑郁或倦怠)和/或心血管疾病,或最近住院或休工。只有一半人有自己的 GP。这些结果可能有助于为 PCP 实施特定的健康策略。

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