Wachtel T J, Wilcox V L, Moulton A W, Tammaro D, Stein M D
Brown University School of Medicine, Providence, Rhode Island, USA.
J Gen Intern Med. 1995 May;10(5):261-5. doi: 10.1007/BF02599883.
To describe how physicians attend to their own health care needs.
Rhode Island.
A random sample of Blue Cross/Blue Shield providers. The 306 respondents (67% of 458) primarily (92%) had MD or DO degrees. The nonphysician providers were chiropractors, dentists, optometrists, and podiatrists.
A mailed survey provided data describing the respondents' medical conditions and utilization of formal and informal care during a three-year period. Questions asked about provider visits, physical examinations, preventive and diagnostic tests, and medication use. The respondents indicated whether services had been initiated by themselves or by another physician.
The physicians' overall use of formal health services was low; their number of office visits was a fourth of the national average. Two-thirds of the respondents reported having a primary care physician, and one-third had sought informal care. The respondents' use of preventive services was high. During the three-year period, 82% of the women physicians had received a Pap test, and 81% of the women physicians over the age of 40 years had received mammography. Cholesterol levels were checked for more than two-thirds of all the respondents. Medical examinations and laboratory tests tended to be ordered by another physician, although self-prescribing was not uncommon. Furthermore, 61% of the respondents had self-prescribed at least one medication.
Physicians' care-seeking behavior covers a broad spectrum, ranging from self-care, to informal consultation, to formal treatment by another physician. Physicians appear to be low users of formal services overall, but high users of preventive care.
描述医生如何关注自身的医疗保健需求。
罗德岛州。
蓝十字/蓝盾医疗服务提供商的随机样本。306名受访者（458名中的67%）主要（92%）拥有医学博士或医学博士学位。非医生医疗服务提供商包括脊椎按摩师、牙医、验光师和足病医生。
一项邮寄调查提供了描述受访者在三年期间的医疗状况以及正式和非正式医疗服务使用情况的数据。问题涉及就医、体格检查、预防和诊断测试以及药物使用。受访者指出服务是由他们自己还是由另一位医生发起的。
医生对正式医疗服务的总体使用率较低；他们的门诊就诊次数是全国平均水平的四分之一。三分之二的受访者报告有一名初级保健医生，三分之一的人寻求过非正式医疗服务。受访者对预防服务的使用率较高。在三年期间，82%的女医生接受了巴氏试验，40岁以上的女医生中有81%接受了乳房X光检查。超过三分之二的受访者进行了胆固醇水平检查。医学检查和实验室测试往往是由另一位医生安排的，不过自我开药方的情况也并不少见。此外，61%的受访者至少自行开了一种药。
医生的求医行为涵盖范围广泛，从自我护理、到非正式咨询、再到由另一位医生进行正式治疗。总体而言，医生似乎对正式服务的使用率较低，但对预防保健的使用率较高。
