Family Medicine Department, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Primary Care Division, Geneva University Hospitals, Geneve, Switzerland.
Int J Public Health. 2022 Feb 15;66:1604442. doi: 10.3389/ijph.2021.1604442. eCollection 2021.
The aim of this study was to describe the prevalence of forgoing care and forgoing sick leave among primary care physicians (PCPs) in Switzerland and to investigate associated factors. A random sample of 1,000 PCPs in French-speaking regions of Switzerland (participation rate: 50%) was asked whether they had forgone care and sick leave during the last year. Sociodemographic, personal and occupational characteristics were recorded. Logistic regressions were performed to study these behaviours. 37% of respondents reported at least one episode of forgoing care and 29% reported an episode of forgoing sick leave. No associations were found between individual characteristics and forgoing care. A heavy workload was the most common reason evoked for forgoing care. Coming to work when sick (presenteeism) was associated with female sex, younger age, having a chronic illness, working in a suburban area and working full-time. A high proportion of PCPs in Switzerland is forgoing own care and continues to work despite sickness. New generations of PCPs should require careful monitoring, and specific solutions should be sought to reduce these harmful behaviours.
本研究旨在描述瑞士初级保健医生（PCP）放弃医疗和病假的普遍程度，并探讨相关因素。瑞士法语区随机抽取了 1000 名 PCP（参与率：50%），询问他们在过去一年中是否放弃了医疗和病假。记录了社会人口统计学、个人和职业特征。进行了逻辑回归以研究这些行为。37%的受访者报告至少有一次放弃医疗的情况，29%的受访者报告有一次放弃病假的情况。个人特征与放弃医疗之间没有关联。工作量大是放弃医疗最常见的原因。带病工作（出勤主义）与女性、年龄较小、患有慢性病、在郊区工作和全职工作有关。瑞士有相当一部分 PCP 放弃了自己的医疗保健，尽管生病了仍继续工作。新一代的 PCP 应该受到仔细的监测，并应寻求具体的解决方案来减少这些有害行为。
