 |
|
Physician, Heal Thyself?
Regular Source of Care and Use of Preventive Health Services Among Physicians
Cary P. Gross, MD;
Lucy A. Mead, ScM;
Daniel E. Ford, MD, MPH;
Michael J. Klag, MD, MPH
Arch Intern Med. 2000;160:3209-3214.
Background Little is known about the regular source of care (RSOC) among physicians, a group whose self-care may reflect the attitudes and recommendations they convey to their patients.
Methods We performed a cohort study of physicians who graduated from the Johns Hopkins School of Medicine from 1948 through 1964 to identify predictors of not having an RSOC, and to determine whether not having an RSOC was associated with subsequent receipt of preventive services. The RSOC was assessed in a 1991 survey; use of cancer screening tests and the influenza vaccine was assessed in 1997.
Results The response rate in 1991 was 77% (915 respondents); 35% (312) had no RSOC. Internists (odds ratio [OR], 3.26; 95% confidence interval [CI], 1.58-6.74), surgeons (OR, 2.42; 95% CI, 1.17-5.02), and pathologists (OR, 5.46; 95% CI, 2.09-14.29) were significantly more likely to not have an RSOC than pediatricians. Not having an RSOC was inversely related to the belief that health is determined by health professionals (OR, 0.45; 95% CI, 0.29-0.68) and directly related to the belief that chance (OR, 1.90; 95% CI, 1.28-2.82) determines health. Not having an RSOC in 1991 predicted not being screened for breast, colon, and prostate cancer, as well as not receiving an influenza vaccine at 6 years of follow-up.
Conclusions A large percentage of physicians in our sample had no RSOC, and this was associated with both medical specialty and beliefs about control of health outcomes. Not having an RSOC was significantly associated with failure to use preventive services several years later.
From the Department of Medicine, Yale University School of Medicine, New Haven, Conn (Dr Gross); and the Department of Medicine and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University School of Medicine and Johns Hopkins School of Hygiene and Public Health, Baltimore, Md (Ms Mead and Drs Ford and Klag).
RELATED ARTICLE
Archives of Internal Medicine Reader's Choice: Continuing Medical Education
Arch Intern Med. 2000;160(21):3332-3333.
FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Building physician resilience
Jensen et al.
cfp 2008;54:722-729.
ABSTRACT
| FULL TEXT
A Conceptual Model of Medical Student Well-Being: Promoting Resilience and Preventing Burnout
Dunn et al.
Acad. Psychiatry 2008;32:44-53.
ABSTRACT
| FULL TEXT
Challenges faced by palliative care physicians when caring for doctors with advanced cancer
Noble et al.
Palliat Med 2008;22:71-76.
ABSTRACT
Balancing the Personal and the Professional: Should and Can We Teach This?
Louie et al.
Acad. Psychiatry 2007;31:129-132.
FULL TEXT
The unhealthy physician
Magnavita
J. Med. Ethics 2007;33:210-214.
ABSTRACT
| FULL TEXT
Short-term impacts of coverage loss in a medicaid population: early results from a prospective cohort study of the Oregon health plan.
Carlson et al.
Ann Fam Med 2006;4:391-398.
ABSTRACT
| FULL TEXT
Supporting the well-being of medical students
Yiu
CMAJ 2005;172:889-890.
FULL TEXT
Commentary: Quality Improvement and Psychiatric Fitness-for-Duty Evaluations of Physicians
Wettstein
J Am Acad Psychiatry Law 2005;33:92-94.
FULL TEXT
A Physician's Suicide
Hendin et al.
Am. J. Psychiatry 2003;160:2094-2097.
FULL TEXT
Care of the Dying Doctor: On the Other End of the Stethoscope
Fromme and Billings
JAMA 2003;290:2048-2055.
ABSTRACT
| FULL TEXT
Minerva
BMJ 2003;327:E6-6.
FULL TEXT
Confronting Depression and Suicide in Physicians: A Consensus Statement
Center et al.
JAMA 2003;289:3161-3166.
ABSTRACT
| FULL TEXT
Receipt of Preventive Care Among Adults: Insurance Status and Usual Source of Care
DeVoe et al.
Am. J. Public Health 2003;93:786-791.
ABSTRACT
| FULL TEXT
Physician Use of Health Services
Journal Watch Dermatology 2001;2001:7-7.
FULL TEXT
Physician Use of Health Services
JWatch General 2000;2000:4-4.
FULL TEXT
|
