ArticleBMJ (Clinical research ed.)2001
Challenge of culture, conscience, and contract to general practitioners' care of their own health: qualitative study.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Doctors as patients: a systematic review of doctors' health access and the barriers they experience.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Pooled it
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- Qualitative study investigating the professional and personal effects of patient suicide on general practitioners in Northern Ireland.BMJ open · 2024Article
- Patient Experience in Neoplastic Disease in Light of the Statements of Doctors Who Are Oncological Patients.Journal of patient experience · 2024Article
- Depression, anxiety, and burnout among psychiatrists during the COVID-19 pandemic: a cross-sectional study in Beijing, China.BMC psychiatry · 2023Article
- Underrecognition and un-dertreatment of stress-related psychiatric disorders in physicians: Determinants, challenges, and the impact of the COVID-19 pandemic.World journal of psychiatry · 2023Review
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- What Educators Can Learn from the Biopsychosocial-Spiritual Model of Patient Care: Time for Holistic Medical Education.Journal of general internal medicine · 2022Review
- Racial/Ethnic Disparities in Healthcare Worker Experiences During the COVID-19 Pandemic: An Analysis of the HERO Registry.EClinicalMedicine · 2022Article
- Identifying Risk Factors for Self-reported Mental Health Problems in Psychiatry Trainees and Psychiatrists in Mexico.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2021Article
- Exploring the diverse career trajectories of general practice graduates in the French-speaking part of Belgium: An interview study.The European journal of general practice · 2021Article
- Balance Versus Integration: Work-Life Considerations.Otolaryngologic clinics of North America · 2021Review
- Mental Health of Medical Practitioner.Indian journal of psychological medicine · 2021Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore general practitioners' perceptions of the effects of their profession and training on their attitudes to illness in themselves and colleagues.
designQualitative study using focus groups and in depth interviews.
settingPrimary care in Northern Ireland.
participants27 general practitioners, including six recently appointed principals and six who also practised occupational medicine part time.
main outcome measuresParticipants' views about their own and colleagues' health.
resultsParticipants were concerned about the current level of illness within the profession. They described their need to portray a healthy image to both patients and colleagues. This hindered acknowledgement of personal illness and engaging in health screening. Embarrassment in adopting the role of a patient and concerns about confidentiality also influenced their reactions to personal illness. Doctors' attitudes can impede their access to appropriate health care for themselves, their families, and their colleagues. A sense of conscience towards patients and colleagues and the working arrangements of the practice were cited as reasons for working through illness and expecting colleagues to do likewise.
conclusionsGeneral practitioners perceive that their professional position and training adversely influence their attitudes to illness in themselves and their colleagues. Organisational changes within general practice, including revalidation, must take account of barriers experienced by general practitioners in accessing health care. Medical education and culture should strive to promote appropriate self care among doctors.
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