Patterns and Consequences of Delayed Self Care Among Rural Medical Providers.

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Danielle L Terry, Gabrielle Safian, Christopher P Terry
{"title":"Patterns and Consequences of Delayed Self Care Among Rural Medical Providers.","authors":"Danielle L Terry, Gabrielle Safian, Christopher P Terry","doi":"10.1177/08901171241266401","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to (a) examine personal healthcare practices of rural medical providers by issue type (e.g., physical health, social health, or mental health), (b) identify perceived consequences of taking time off and (c) determine whether greater delay in self-care was associated with perceived stress and burnout.</p><p><strong>Design: </strong>Electronic surveys were sent to 805 medical providers (response rate = 17.8%, n = 143).</p><p><strong>Setting: </strong>The setting was a rural teaching hospital and affiliated community clinics.</p><p><strong>Subjects: </strong>Participants included 143 rural medical providers.</p><p><strong>Measures: </strong>The survey included demographic information, perceived personal health risk, and questions about delaying health care, and perceived consequences of receiving health care.</p><p><strong>Results: </strong>Medical providers delayed mental health care needs significantly more than physical health needs, t<sub>131</sub> = 5.13, <i>P</i> < .01, d = .38. Respondents believed that there would be significantly more retaliation against them for taking time off for psychosocial issues, t<sub>124</sub> = -3.80, <i>P</i> < .001, d = .25. There was a significant negative association between burnout and physical health self-care (r = -.24, <i>P</i> < .01), psychosocial self-care (r = -.20, <i>P</i> = .01), and mental health self-care (r = -.23, <i>P</i> < .01).</p><p><strong>Conclusions: </strong>Our study identified commonly reported consequences related to taking off work for care seeking behavior. Understanding perceived consequences can help guide health care organizations in dismantling these barriers. This study is limited by the generalizability of its sample.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Health Promotion","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08901171241266401","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: The purpose of this study was to (a) examine personal healthcare practices of rural medical providers by issue type (e.g., physical health, social health, or mental health), (b) identify perceived consequences of taking time off and (c) determine whether greater delay in self-care was associated with perceived stress and burnout.

Design: Electronic surveys were sent to 805 medical providers (response rate = 17.8%, n = 143).

Setting: The setting was a rural teaching hospital and affiliated community clinics.

Subjects: Participants included 143 rural medical providers.

Measures: The survey included demographic information, perceived personal health risk, and questions about delaying health care, and perceived consequences of receiving health care.

Results: Medical providers delayed mental health care needs significantly more than physical health needs, t131 = 5.13, P < .01, d = .38. Respondents believed that there would be significantly more retaliation against them for taking time off for psychosocial issues, t124 = -3.80, P < .001, d = .25. There was a significant negative association between burnout and physical health self-care (r = -.24, P < .01), psychosocial self-care (r = -.20, P = .01), and mental health self-care (r = -.23, P < .01).

Conclusions: Our study identified commonly reported consequences related to taking off work for care seeking behavior. Understanding perceived consequences can help guide health care organizations in dismantling these barriers. This study is limited by the generalizability of its sample.

农村医疗服务提供者延迟自我护理的模式与后果》(Patterns and Consequences of Delayed Self Care Among Rural Medical Providers.
目的:本研究的目的是(a)按问题类型(如身体健康、社会健康或心理健康)检查农村医疗服务提供者的个人保健做法,(b)确定请假的感知后果,以及(c)确定自我保健方面的更大延迟是否与感知压力和职业倦怠有关:设计:向 805 名医疗服务提供者发送电子调查问卷(回复率 = 17.8%,n = 143):环境:环境为一家农村教学医院及其附属社区诊所:参与者包括 143 名农村医疗服务提供者:调查内容包括人口统计学信息、感知到的个人健康风险、有关延迟医疗保健的问题以及感知到的接受医疗保健的后果:结果:医疗服务提供者对心理健康护理需求的延迟程度明显高于对身体健康需求的延迟程度,t131 = 5.13,P < .01,d = .38。受访者认为,因社会心理问题请假会遭到报复的比例明显更高,t124 = -3.80,P < .001,d = .25。职业倦怠与身体健康自理(r = -.24,P < .01)、社会心理自理(r = -.20,P = .01)和心理健康自理(r = -.23,P < .01)之间存在明显的负相关:我们的研究发现了通常报告的与请假就医行为相关的后果。了解感知到的后果有助于指导医疗机构消除这些障碍。本研究的局限性在于样本的普遍性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信