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医生群体中的轻微疾病与患病行为

Minor ailments and illness behavior among physicians.

作者信息

Cockerham W C, Creditor M C, Creditor U K, Imrey P B

出版信息

Med Care. 1980 Feb;18(2):164-73. doi: 10.1097/00005650-198002000-00003.

DOI:10.1097/00005650-198002000-00003
PMID:7206838
Abstract

This study examined the illness behavior of a sample (n = 375) of physicians in regard to the treatment of their own minor ailments. The symptoms for each of 13 minor ailments were clearly worded to describe a common ailment which in the normal course of events should disappear if left untreated. For 3 of the ailments, however, there was a high frequency of physician-dependent action; 4 other ailments showed a moderate frequency of physician-dependent action. Assuming that physicians are role models for illness behavior, in the sense that they have the authority to define what illness "is" and that they will then do what they have think "best," this sample of physicians is implicitly demonstrating what lay persons should do. These data suggest that the normative expectation to seek professional assistance (a medical solution) is reinforced by physicians through their own behavior.

摘要

本研究调查了375名医生在治疗自身轻微疾病方面的患病行为。13种轻微疾病的每种症状都有清晰的描述,以说明一种常见疾病,在正常情况下若不治疗应会自行消失。然而,对于其中3种疾病,医生依赖行为的频率较高;另外4种疾病显示出中度的医生依赖行为频率。假设医生是患病行为的榜样,即他们有权定义疾病“是什么”,然后会去做他们认为“最好”的事情,那么这组医生样本就在含蓄地示范外行人应该怎么做。这些数据表明,寻求专业帮助(医疗解决方案)的规范性期望通过医生自身的行为得到了强化。

相似文献

1
Minor ailments and illness behavior among physicians.医生群体中的轻微疾病与患病行为
Med Care. 1980 Feb;18(2):164-73. doi: 10.1097/00005650-198002000-00003.
2
GPs' attitudes to minor ailments.全科医生对小病的态度。
Fam Pract. 2001 Dec;18(6):581-5. doi: 10.1093/fampra/18.6.581.
3
Illness doesn't belong to us.疾病并不属于我们。
J R Soc Med. 1997 Sep;90(9):491-5. doi: 10.1177/014107689709000907.
4
Illness behaviour among Norwegian physicians.挪威医生的疾病行为。
Scand J Public Health. 2002;30(2):125-32. doi: 10.1080/14034940210133744.
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Older patient satisfaction with communication during an initial medical encounter.老年患者对初次医疗问诊时沟通情况的满意度。
Soc Sci Med. 1994 May;38(9):1279-88. doi: 10.1016/0277-9536(94)90191-0.
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Ethical decision making and patient autonomy: a comparison of physicians and patients in Japan and the United States.伦理决策与患者自主权:日本和美国医生与患者的比较
Chest. 2000 Oct;118(4):1172-82. doi: 10.1378/chest.118.4.1172.
7
[The physicians--an uncomfortable patient].[医生们——一位感到不适的患者]
Lakartidningen. 2013;110(23-24):1171-3.
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Predicting physician utilization.预测医生的使用情况。
Med Care. 1983 Mar;21(3):360-9. doi: 10.1097/00005650-198303000-00008.
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[Are physicians blind when it comes to their own health?].医生在自身健康问题上会视而不见吗?
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[When the doctor becomes a patient: physician health in university hospitals in Alicante, Spain].[当医生成为患者:西班牙阿利坎特大学医院的医生健康状况]
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引用本文的文献

1
Physicians' and Nurses' Own Health Practices: A survey.医生和护士自身的健康习惯:一项调查。
Can Fam Physician. 1992 Feb;38:277-83.
2
Utilization of Western medicine and traditional chinese medicine services by physicians and their relatives: the role of training background.医师及其亲属对西医药服务和中医药服务的利用:培训背景的作用。
Evid Based Complement Alternat Med. 2011;2011:827979. doi: 10.1093/ecam/nep094. Epub 2011 Mar 13.
3
Physician, heal thyself. Developing a hospital-based physician well-being committee.医生,先治愈自己。组建一个以医院为基础的医生健康委员会。
Can Fam Physician. 1995 Feb;41:259-63.
4
Physicians' utilization of health care.医生对医疗保健的利用情况。
J Gen Intern Med. 1995 May;10(5):261-5. doi: 10.1007/BF02599883.
5
Strategies for enhancing patient compliance.提高患者依从性的策略。
J Community Health. 1980 Winter;6(2):113-35. doi: 10.1007/BF01318980.
6
Preferences for autonomy when patients are physicians.当患者是医生时对自主性的偏好。
J Gen Intern Med. 1990 Nov-Dec;5(6):506-9. doi: 10.1007/BF02600881.