Doctors admitted to a physicians' health program: A comparison of self-referrals versus directed referrals

María Dolores Braquehais; Sergi Valero; Miquel Jordi Bel; María Cecilia Navarro; Josep Lluís Matalí; Viviana Nasillo; Jaume Padrós; Antoni Arteman; Eugeni Bruguera; Miquel Casas

doi:10.1136/bmjopen-2014-005248

Doctors admitted to a physicians' health program: A comparison of self-referrals versus directed referrals

María Dolores Braquehais, Sergi Valero, Miquel Jordi Bel, María Cecilia Navarro, Josep Lluís Matalí, Viviana Nasillo, Jaume Padrós, Antoni Arteman, Eugeni Bruguera, Miquel Casas

Department of Psychiatry and Legal Medicine

Research output: Contribution to journal › Article › Research › peer-review

3 Citations (Scopus)

Abstract

Objective: To compare the profile of doctors with mental disorders admitted to a Physicians' Health Program (PHP) depending on their type of referral. Design: Retrospective chart review. Method: We analysed 1545 medical records of doctors admitted to the Barcelona PHP (PAIMM) from 1 February 1998 to 31 December 2012. Results: Most doctors (83.2%) were self-referred to the programme. Patients non-self-referred were older (x-=55 vs x -=49.6 years; t=6.96, p<0.01) than those self-referred and there were more men (68.3%) than women (45.8%; OR=0.39; 95% CI 0.29 to 0.52). Self-referrals were more frequent among patients with nonaddictive disorders (84.6% vs 15.4%; OR=4.52; 95% CI 3.23 to 28.45). Self-referred patients needed less inpatient admissions (16.8% vs30.9%; OR=2.22; 95% CI 1.63 to 3.01) and the length of their treatment episodes was shorter (x-=24.3 vs x - = 32.4 months; t=3.34; p<0.01). Logistic regression showed a significant model (χ2=67.52; df=3; p<0.001). Age, gender and diagnosis were statistically associated with type of referral to the programme. Conclusions: Type of referral to a PHP may be influenced not only by sick doctors' personal traits but also by each programme's design and how it is perceived by service users. Our findings should be taken into account when designing treatment and preventive interventions for this professional group.

Original language	English
Article number	e005248
Journal	BMJ Open
Volume	4
Issue number	7
DOIs	https://doi.org/10.1136/bmjopen-2014-005248
Publication status	Published - 1 Jan 2014

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@article{33dc3f4b8afe4ea99150f50318fdf8a6,

title = "Doctors admitted to a physicians' health program: A comparison of self-referrals versus directed referrals",

abstract = "Objective: To compare the profile of doctors with mental disorders admitted to a Physicians' Health Program (PHP) depending on their type of referral. Design: Retrospective chart review. Method: We analysed 1545 medical records of doctors admitted to the Barcelona PHP (PAIMM) from 1 February 1998 to 31 December 2012. Results: Most doctors (83.2%) were self-referred to the programme. Patients non-self-referred were older (x-=55 vs x -=49.6 years; t=6.96, p<0.01) than those self-referred and there were more men (68.3%) than women (45.8%; OR=0.39; 95% CI 0.29 to 0.52). Self-referrals were more frequent among patients with nonaddictive disorders (84.6% vs 15.4%; OR=4.52; 95% CI 3.23 to 28.45). Self-referred patients needed less inpatient admissions (16.8% vs30.9%; OR=2.22; 95% CI 1.63 to 3.01) and the length of their treatment episodes was shorter (x-=24.3 vs x - = 32.4 months; t=3.34; p<0.01). Logistic regression showed a significant model (χ2=67.52; df=3; p<0.001). Age, gender and diagnosis were statistically associated with type of referral to the programme. Conclusions: Type of referral to a PHP may be influenced not only by sick doctors' personal traits but also by each programme's design and how it is perceived by service users. Our findings should be taken into account when designing treatment and preventive interventions for this professional group.",

author = "Braquehais, {Mar{\'i}a Dolores} and Sergi Valero and Bel, {Miquel Jordi} and Navarro, {Mar{\'i}a Cecilia} and Matal{\'i}, {Josep Llu{\'i}s} and Viviana Nasillo and Jaume Padr{\'o}s and Antoni Arteman and Eugeni Bruguera and Miquel Casas",

year = "2014",

month = jan,

day = "1",

doi = "10.1136/bmjopen-2014-005248",

language = "English",

volume = "4",

journal = "BMJ Open",

issn = "2044-6055",

number = "7",

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Doctors admitted to a physicians' health program: A comparison of self-referrals versus directed referrals. / Braquehais, María Dolores; Valero, Sergi; Bel, Miquel Jordi; Navarro, María Cecilia; Matalí, Josep Lluís; Nasillo, Viviana; Padrós, Jaume; Arteman, Antoni; Bruguera, Eugeni; Casas, Miquel.

In: BMJ Open, Vol. 4, No. 7, e005248, 01.01.2014.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - Doctors admitted to a physicians' health program: A comparison of self-referrals versus directed referrals

AU - Braquehais, María Dolores

AU - Valero, Sergi

AU - Bel, Miquel Jordi

AU - Navarro, María Cecilia

AU - Matalí, Josep Lluís

AU - Nasillo, Viviana

AU - Padrós, Jaume

AU - Arteman, Antoni

AU - Bruguera, Eugeni

AU - Casas, Miquel

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective: To compare the profile of doctors with mental disorders admitted to a Physicians' Health Program (PHP) depending on their type of referral. Design: Retrospective chart review. Method: We analysed 1545 medical records of doctors admitted to the Barcelona PHP (PAIMM) from 1 February 1998 to 31 December 2012. Results: Most doctors (83.2%) were self-referred to the programme. Patients non-self-referred were older (x-=55 vs x -=49.6 years; t=6.96, p<0.01) than those self-referred and there were more men (68.3%) than women (45.8%; OR=0.39; 95% CI 0.29 to 0.52). Self-referrals were more frequent among patients with nonaddictive disorders (84.6% vs 15.4%; OR=4.52; 95% CI 3.23 to 28.45). Self-referred patients needed less inpatient admissions (16.8% vs30.9%; OR=2.22; 95% CI 1.63 to 3.01) and the length of their treatment episodes was shorter (x-=24.3 vs x - = 32.4 months; t=3.34; p<0.01). Logistic regression showed a significant model (χ2=67.52; df=3; p<0.001). Age, gender and diagnosis were statistically associated with type of referral to the programme. Conclusions: Type of referral to a PHP may be influenced not only by sick doctors' personal traits but also by each programme's design and how it is perceived by service users. Our findings should be taken into account when designing treatment and preventive interventions for this professional group.

AB - Objective: To compare the profile of doctors with mental disorders admitted to a Physicians' Health Program (PHP) depending on their type of referral. Design: Retrospective chart review. Method: We analysed 1545 medical records of doctors admitted to the Barcelona PHP (PAIMM) from 1 February 1998 to 31 December 2012. Results: Most doctors (83.2%) were self-referred to the programme. Patients non-self-referred were older (x-=55 vs x -=49.6 years; t=6.96, p<0.01) than those self-referred and there were more men (68.3%) than women (45.8%; OR=0.39; 95% CI 0.29 to 0.52). Self-referrals were more frequent among patients with nonaddictive disorders (84.6% vs 15.4%; OR=4.52; 95% CI 3.23 to 28.45). Self-referred patients needed less inpatient admissions (16.8% vs30.9%; OR=2.22; 95% CI 1.63 to 3.01) and the length of their treatment episodes was shorter (x-=24.3 vs x - = 32.4 months; t=3.34; p<0.01). Logistic regression showed a significant model (χ2=67.52; df=3; p<0.001). Age, gender and diagnosis were statistically associated with type of referral to the programme. Conclusions: Type of referral to a PHP may be influenced not only by sick doctors' personal traits but also by each programme's design and how it is perceived by service users. Our findings should be taken into account when designing treatment and preventive interventions for this professional group.

U2 - 10.1136/bmjopen-2014-005248

DO - 10.1136/bmjopen-2014-005248

M3 - Article

VL - 4

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 7

M1 - e005248

ER -