当医生需要医生时：医患关系的特殊考量

When the doctor needs a doctor: special considerations for the physician-patient.

作者信息

Stoudemire A, Rhoads J M

出版信息

Ann Intern Med. 1983 May;98(5 Pt 1):654-9. doi: 10.7326/0003-4819-98-5-654.

Abstract

The treatment of an ill or impaired physician may present difficulties not typically encountered in other patients. Potential complications arise from the temptation for physicians to diagnose and treat themselves, their tendency to obtain "informal" consultations regarding personal symptoms, their difficult transition from the role of doctor to that of patient, and the inadvertent assumption of a "VIP" status in the hospital. These difficulties may be increased by the denial of illness by the physicians themselves and their families and colleagues. This denial is partially determined by legal, financial, social, professional, and psychological factors. Specific recommendations on caring for an ill physician are presented.

摘要

对患病或受损的医生进行治疗可能会出现一些在其他患者身上通常不会遇到的困难。医生自我诊断和治疗的倾向、就个人症状寻求“非正式”会诊的趋势、从医生角色向患者角色的艰难转变以及在医院中无意间获得的“贵宾”身份，都会引发潜在的并发症。医生本人及其家人和同事对疾病的否认可能会使这些困难加剧。这种否认部分由法律、财务、社会、职业和心理因素决定。本文提出了关于照料患病医生的具体建议。