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对非专业性行为进行专业健康监测计划的指导的特征
Alexandria G Polles1, Cristiana N P Araujo1, Rosalie S Hemphill1
1Dr. Polles is the Medical Director, Ms. Hemphill was a Case Manager, and Dr. Merlo is the Director of Research, Professionals Resource Network, Inc., Fernandina Beach, FL. (Ms. Hemphill is now Case Manager, Ohio Professionals Health Program and Clinical Research Coordinator III, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.) Dr. Araujo is a Postdoctoral Associate and Lisa J. Merlo is a Professor, Department of Psychiatry and Hanzhi Gao is a Data Scientist III, Department of Biostatistics, University of Florida College of Medicine, Gainesville, FL.
专业的健康监测计划 (PHP) 成功地管理了健康护理专业人员的非专业性行为 (USB),促进他们安全返回实践. 大多数监测的病例显示出成功的结局,重新转诊率低.
科学领域:
- 医学伦理 医学伦理
- 专业规范专业规范专业规范专业规范专业规范
- 公共卫生 公共卫生
背景情况:
- 高调的案件引起了人们对医疗保健专业人员的性行为不端的担忧.
- 专业健康监测计划 (PHP) 对于管理有不专业性行为 (USB) 史的临床医生至关重要.
- 关于临床医生的特征和结果存在有限的数据,这些医生参考了PHPs for USB.
研究的目的:
- 为了研究医疗保健专业人员的特征和结果,我们参考了非专业性行为 (USB) 的PHP.
- 评估PHPs在使用USB管理和监控临床医生的有效性.
- 为旨在防止USB在医疗保健机构中的政策提供信息.
主要方法:
- 分析了超过35年的PHP记录,用于USB相关的转介 (N = 570).
- 将病例分为监控和不监控的组.
- 对监测结果的评估和对各组之间的法律/纪律后果的比较.
主要成果:
- 在570例转诊中,232例 (40.7%) 被PHP监测;大多数是医生 (67.2%) 和男性 (95.7%).
- 大多数监测的病例 (75.9%) 涉及至少一个患者的USB,其中74.9%的患者取得了成功或非常成功的结果.
- 与未受监控专业人士 (69.8%) 相比,受监控专业人士的 USB 严重程度较小,法律/纪律后果较少 (57.3%).
结论:
- 在医疗保健专业人员与USB安全重返实践中,PHP发挥着至关重要的作用.
- PHP过程证明了在管理有史以来不专业性行为的临床医生的实用性和透明度.
- 这些发现可以指导政策制定,以预防和解决医疗保健专业人员的USB问题.
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