ArticlePloS one2020
Physicians' norms and attitudes towards substance use in colleague physicians: A cross-sectional survey in the Netherlands.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 19 citations in OpenAlex.
- The Effectiveness of an Empowerment Education Intervention for Substance Use Reduction among Inner-City Adolescents in Nigeria.International journal of environmental research and public health · 2023Trial
- Psychosocial correlates of co-workers' responses to alcohol problems in the workplace - a cross-sectional survey among medical personnel in Poland.Substance abuse treatment, prevention, and policy · 2025Article
- Fatal drug overdoses in healthcare workers: A thematic framework analysis of coroner reports.Addiction (Abingdon, England) · 2025Article
- Effects of the COVID-19 Pandemic on Anxiety and Depression among Medical Interns.The western journal of emergency medicine · 2025Article
- Substance use disorder and alcohol consumption patterns among Dutch physicians: a nationwide register-based study.Addiction science & clinical practice · 2023Article
- The consumption of psychoactive substances among French physicians: how do they perceive the creation of a dedicated healthcare system?Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSubstance use disorders (SUD) in physicians often remain concealed for a long time. Peer monitoring and open discussions with colleagues are essential for identifying SUD. However, physicians often feel uncomfortable discussing substance use with a colleague. We explored physicians' attitudes and norms about substance use (disorders) and their (intended) approach upon a presumption of substance use in a colleague. MATERIALS AND
methodsAn online cross-sectional survey concerning "Addiction in physicians" was administered by the Royal Dutch Medical Association physician panel. Overall, 1685 physicians (47%) responded. Data were analyzed by logistic regression to explore factors associated with taking action upon a substance use presumption.
resultsMost physicians agreed that SUD can happen to anyone (67%), is not a sign of weakness (78%) and that it is a disease that can be treated (83%). Substance use in a working context was perceived as unacceptable (alcohol at work: 99%, alcohol during a standby duty: 91%, alcohol in the eight hours before work: 77%, and illicit drugs in the eight hours before work: 97%). Almost all respondents (97%) intend to act upon a substance use presumption in a colleague. Of the 29% who ever had this presumption, 65% took actual action. Actual action was associated with male gender and older age (OR = 1.81; 95% CI = 1.20-2.74 and OR = 1.03; 95% CI = 1.01-1.05, respectively).
conclusionsAbout one-third of physicians reported experience with a presumption of substance use in a colleague. Whilst most physicians intend to take action upon such a presumption, two-thirds actually do act upon a presumption. To bridge this intention-behavior gap continued medical education on signs and symptoms of SUD and instructions on how to enter a supportive dialogue with a colleague about personal issues, may enhance physicians' knowledge, confidence, and ethical responsibility to act upon a presumption of substance use or other concerns in a colleague.
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