对治疗亲属和自己的医生进行了为期五年的跟踪调查

Jasmyn E. Atalla, BS, Ross D. DeChant, MD, Lynne J. Goebel, MD, FACP, Corresponding Author: Maurice A. Mufuson, MD, MACP
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引用次数: 0

摘要

在这项研究中,我们比较了2017年和2012年对参加内科、儿科、家庭医学和妇产科大查房的类似人群的医生进行的调查中的这种态度。2017年,未经检查就给亲属开处方药的受访者减少了。在这两年中,有相当数量的住院医生和教师认为他们应该治疗自己的亲属。为家属治疗小病的比例从2012年的75.3%大幅下降至59%。在这两年中,大约有一半的医生自己治疗小病。尽管73%的受访者拥有初级保健医生(PCP),但2017年男性拥有初级保健医生的比例(p-0.04)明显高于2012年女性的比例(p=0.01)。住院医师和院系医师治疗亲属和自己的总体频率在过去五年中有所下降,不进行检查的治疗也越来越少。然而,太多的医生不顾AMA和ACP的道德警告,继续这种做法。需要更多的教育来说服医生不要治疗亲属和自己。需要进一步的研究来确定为什么现在男性比女性更常患pcp。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A five-year follow up of doctors treating relatives and themselves
Studies show high rates of physicians believing that they should treat relatives and themselves In this study, we compared such attitudes in surveys conducted in 2017 and 2012 among similar populations of physicians who attended Internal Medicine, Pediatrics, Family Medicine, and OB/ GYN Grand Rounds. Fewer respondents in 2017 prescribed medications to relatives without an examination. Similar numbers of residents and faculty in both years believed they should treat their relatives. Fifty-nine percent treated relatives for minor illnesses, a significant decrease from 75.3% in 2012. About half of physicians treated themselves for minor illnesses in both years. Although 73% of current respondents had a primary care physician (PCP), a significantly higher proportion of men had PCPs (p-0.04) in 2017 in contrast to a significantly higher proportion of women in 2012 (p=0.01). The overall frequency of residents and faculty physicians who treat relatives and themselves decreased in the past five years and less treat without examination. However, too many physicians continue this practice, despite the ethical admonitions of the AMA and ACP. More education is required to convince physicians not to treat relatives and themselves. Further research is needed to determine why men now have PCPs more often than women.
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