Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C, Denmark.
Department of Mental Healtmaxh Service, Vejle, Region of Southern Denmark.
Medicine (Baltimore). 2021 Dec 30;100(52):e27750. doi: 10.1097/MD.0000000000027750.
Religiosity and/or spirituality (R/S) of physicians have been reported to inform behavior regarding religiosity and spirituality in clinical practice (R/S-B). Our aim was to study this association.
Building upon a large international data pool of physician values we performed network and systematic literature searches using Google Scholar, Web of Science, Embase, Medline, and PsycInfo. Measures for R/S and R/S-B were selected for comparability with existing research. We performed a two-stage IPDMA using R/S coefficients from sample-wise multiple regression analyses as summary measures. We controlled for age, gender, and medical specialty. An additional sub-analysis compared psychiatrists to non-psychiatrists.
We found 11 eligible surveys from 8 countries (n = 3159). We found a positive association between R/S and R/S-B with an overall R/S coefficient of 0.65 (0.48-0.83). All samples revealed a positive association between R/S and R/S-B. Only 2 out of the 11 samples differed from the overall confidence interval. Psychiatrists had a higher degree of R/S-B, but associations with R/S did not differ compared to non-psychiatrists.
We confirmed a significant association between R/S and R/S-B in this study. Despite large cultural differences between samples, coefficients remained almost constant when controlling for confounders, indicating a cultural independent effect of R/S on R/S-B, which to our knowledge has not been documented before.Such interaction can constitute both facilitators and barriers for high quality health care and should be considered in all aspects of patient and relationship-centered medicine.
已有研究报告称，医生的宗教信仰和/或精神信仰（R/S）会影响其在临床实践中的宗教和精神行为（R/S-B）。我们旨在研究这种关联。
我们利用一个大型的国际医师价值观数据库，通过谷歌学术、Web of Science、Embase、Medline 和 PsycInfo 进行网络和系统文献检索。我们选择了 R/S 和 R/S-B 的测量方法，以与现有研究进行可比性。我们使用样本-wise 多元回归分析的 R/S 系数作为汇总测量值进行了两阶段 IPDMA。我们控制了年龄、性别和医学专业。还进行了一项亚分析，比较了精神科医生和非精神科医生。
我们从 8 个国家找到了 11 项符合条件的调查（n=3159）。我们发现 R/S 与 R/S-B 之间存在正相关，总体 R/S 系数为 0.65（0.48-0.83）。所有样本均显示出 R/S 与 R/S-B 之间的正相关。只有 11 个样本中的 2 个与总体置信区间不同。精神科医生的 R/S-B 程度较高，但与 R/S 的关联与非精神科医生相比没有差异。
在这项研究中，我们证实了 R/S 与 R/S-B 之间存在显著关联。尽管样本之间存在很大的文化差异，但在控制混杂因素后，系数几乎保持不变，表明 R/S 对 R/S-B 的影响具有文化独立性，这是我们以前没有记录过的。这种相互作用可以构成高质量医疗保健的促进因素和障碍，应该在患者和以关系为中心的医学的各个方面考虑。
