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[医生的医疗保健]

[Physicians' health care].

作者信息

Strusberg Ingrid

机构信息

Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Cátedra de Semiología. UHMI nº2.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2023 Mar 31;80(1):25-28. doi: 10.31053/1853.0605.v80.n1.34537.

Abstract

INTRODUCTION

The programs of the Medicine Careers of Córdoba do not describe aspects related to the management of the doctor-patient relationship when the patient is a colleague. The main objective is to describe these aspects.

MATERIAL AND METHODS

An observational, prospective, cross-sectional and analytical study was carried out. A validated survey was sent by email to doctors in Córdoba, Argentina. Results: Of the 225 physicians who responded, 76% did not have a family doctor. The youngest and those who attend in the public sphere made up this group (p<0,0002 and p<0.04 respectively). 86,2% self-medicated in the last year. Self-medication was more frequent among young physicians (p<0,0008) and with fewer years of professional practice (p<0,003). This group, regardless of whether they worked in the public or private sphere, continued to work despite having some disease and although they could have requested sick leave. The oldest doctors (p<0,0002) and with more than 25 years of professional practice experienced assisting colleagues (p<0,0002). 74,2% did not modify clinical care, but 82,7% answered that at some point they did commit more than usual.

CONCLUSION

Young doctors do not have a family doctor, resort to self-medication, request less sick leave, even though they need it, and have little experience treating colleagues. Content should be incorporated during undergraduate and graduate medicine training that address the risks of illness and self-medication for physicians, how to seek the best care for their own health and that of their colleague.

摘要

引言

科尔多瓦医学职业项目未描述患者为同行时医患关系管理的相关方面。主要目的是描述这些方面。

材料与方法

开展了一项观察性、前瞻性、横断面分析研究。通过电子邮件向阿根廷科尔多瓦的医生发送了一份经过验证的调查问卷。结果:在回复的225名医生中,76%没有家庭医生。最年轻的医生以及在公共领域工作的医生构成了这一群体(分别为p<0.0002和p<0.04)。86.2%的医生在过去一年中自行用药。自行用药在年轻医生中更为常见(p<0.0008),且执业年限较少(p<0.003)。该群体无论在公共领域还是私人领域工作,尽管患病且本可请病假,但仍继续工作。年龄较大的医生(p<0.0002)以及执业超过25年的医生有协助同行的经历(p<0.0002)。74.2%的医生未改变临床护理,但82.7%的医生回答说他们在某些时候确实比平时投入更多。

结论

年轻医生没有家庭医生,自行用药,即使需要也很少请病假,且治疗同行的经验较少。在本科和研究生医学培训中应纳入相关内容,涉及医生患病和自行用药的风险、如何为自身及同行的健康寻求最佳护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ab/10142674/b95fd164fabd/1853-0605-80-1-025-g001.jpg

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