Doctors admitted to a Physicians' Health Program : a comparison of self-referrals versus directed referrals
Braquehais, María Dolores (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Valero, Sergi (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Bel, Miquel Jordi (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Navarro, María Cecilia (Col·legi oficial de Metges de Barcelona. Fundació Galatea)
Matalí, Josep Lluís (Col·legi oficial de Metges de Barcelona. Fundació Galatea)
Nasillo, Viviana (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Padrós, Jaume (Col·legi oficial de Metges de Barcelona. Fundació Galatea)
Arteman, Antoni (Col·legi oficial de Metges de Barcelona. Fundació Galatea)
Bruguera, Eugeni (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Casas Brugué, Miquel (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Universitat Autònoma de Barcelona

Date:	2014
Abstract:	To compare the profile of doctors with mental disorders admitted to a Physicians' Health Program (PHP) depending on their type of referral. Retrospective chart review. We analysed 1545 medical records of doctors admitted to the Barcelona PHP (PAIMM) from 1 February 1998 to 31 December 2012. Most doctors (83. 2%) were self-referred to the programme. Patients non-self-referred were older (=55 vs =49. 6 years; t=6. 96, p<0. 01) than those self-referred and there were more men (68. 3%) than women (45. 8%; OR=0. 39; 95% CI 0. 29 to 0. 52). Self-referrals were more frequent among patients with non-addictive disorders (84. 6% vs 15. 4%; OR=4. 52; 95% CI 3. 23 to 28. 45). Self-referred patients needed less inpatient admissions (16. 8% vs30. 9%; OR=2. 22; 95% CI 1. 63 to 3. 01) and the length of their treatment episodes was shorter (=24. 3 vs = 32. 4 months; t=3. 34; p<0. 01). Logistic regression showed a significant model (χ 2 =67. 52; df=3; p<0. 001). Age, gender and diagnosis were statistically associated with type of referral to the programme. Type of referral to a PHP may be influenced not only by sick doctors' personal traits but also by each programme's design and how it is perceived by service users. Our findings should be taken into account when designing treatment and preventive interventions for this professional group.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Psychiatry ; Occupational & Industrial Medicine ; Public Health
Published in:	BMJ open, Vol. 4 (july 2014) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2014-005248
PMID: 24993767

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