影响医生的适应能力的健康状况:一个范围审查
Richard Roberts1, Tanya Jackson1, Ryan Gerdes1
1Division of Preventive Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
超过200种健康状况会影响医生适应性,影响患者的安全. 本综述列举了这些情况,强调心理健康和物质使用问题是最普遍的.
科学领域:
- 医学教育 医学教育
- 医生健康 医生健康
- 患者安全 患者安全
背景情况:
- 影响医生的健康状况已经被认可超过50年.
- 监管机构寻求对这些健康状况的明确性和标准化.
- 缺乏对这些条件的全面列举.
研究的目的:
- 进行范围审查,以确定影响医生适应性的所有健康状况.
- 综合现有的关于医生健康及其与实践的关系的文献.
主要方法:
- 在多个数据库 (Ovid MEDLINE,Embase,APA PsycINFO,ProQuest论文和论文全球) 进行系统的文献搜索,直到2024年1月.
- 基于SPIDER框架的纳入标准.
- 两个审查员在标题,摘要和全文层面对记录进行独立选.
主要成果:
- 从2542个选中确定了403个符合条件的记录,详细介绍了203种不同的健康状况,影响了医生的适应性.
- 心理健康问题 (32.0%) 和药物/物质使用 (26.0%) 是最常见的类别.
- 其他重要类别包括神经 (13.2%),医疗 (12.8%) 和酒精使用 (6.0%) 条件.
结论:
- 广泛的健康状况可能会影响医生的执业能力,对患者的护理和安全构成风险.
- 这些确定的疾病需要医生,研究人员,监管机构和医生健康计划的关注.
- 在有关医生健康的监管过程中,需要标准化和明确.
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