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Physician impairment by substance abuse

P G O'Connor1, A Spickard

  • 1Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.

The Medical Clinics of North America
|July 1, 1997
PubMed
Summary

Physician substance abuse, including prescription drugs, poses risks to patients and doctors. Early identification and specialized treatment are crucial for improving physician and patient well-being.

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Area of Science:

  • Medical Ethics
  • Public Health
  • Addiction Medicine

Background:

  • Physician substance abuse presents a significant challenge to healthcare systems, affecting physicians, patients, and society.
  • While data is limited, physician substance abuse rates, particularly for alcohol and illicit drugs, may mirror the general population, with potentially higher rates of prescription drug misuse.

Purpose of the Study:

  • To highlight the challenges posed by physician substance abuse.
  • To discuss the medicolegal and credentialing aspects of physician impairment.
  • To outline strategies for identification and treatment of substance-abusing physicians.

Main Methods:

  • Review of existing literature and data on physician substance abuse.
  • Analysis of medicolegal and organizational management approaches.
  • Discussion of identification and treatment modalities.

Main Results:

  • Physician substance abuse is a complex issue with broad implications.
  • Prescription drug abuse may be more common among physicians than other substances.
  • State-level management and organizational interest in credentialing are increasing.

Conclusions:

  • Effective identification and treatment strategies tailored for impaired physicians are available.
  • Addressing physician substance abuse is vital for enhancing the well-being of both physicians and patients.
  • Increased attention to physician impairment can improve healthcare quality and safety.

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