Impaired health status, and mental health, lower vitality and social functioning in women general practitioners in Sweden: A cross-sectional survey

Sundquist, Jan; Johansson, Sven‐Erik

doi:10.1080/028134399750002692

Cited by 11 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Particularly higher risks for female physicians were noted for cancer; endocrine, nutritional, and metabolic diseases and immunity disorders; and genitourinary diseases. A Swedish study comparing the self-reported health status of female and male physicians reported that female physicians were at a higher risk than males for an impaired health status (Sundquist and Johansson 1999). Additionally, large-scale health surveys have suggested that women's morbidity and medical care utilization tend to be higher than men's (Gijsbers van Wijk 1992van Wijk , 1995.…”

Section: Discussionmentioning

confidence: 99%

“…Since Duffy and Litin (1964) found in 1964 an elevated risk of psychiatric disorders for physicians, the health among physicians has frequently raised attention, including not only psychological (Stavem, Hofoss, and Aasland 2003) but also physical (Sundquist and Johansson 1999;Stavem et al 2001) health problems. For a long time, there has been mounting recognition of the fact that practicing medicine can seriously impact a physician's health (Sutherland and Cooper 1993;Caplan 1994;Silvester, Allen, and Withey 1994;Fish and Steinert 1995;Spurgeon, Barwell, and Maxwell 1995).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Risks and Causes of Hospitalizations among Physicians in Taiwan

Lin

Yang

Sung

et al. 2007

Health Services Research

View full text Add to dashboard Cite

Objectives. To assess the causes and cause-specific risks of hospitalization among physicians in Taiwan. Data Source. The data used in this study were retrieved from filed claims and registries of the National Health Insurance Research Database. A cohort of 33,380 physicians contracted with the national insurance program between 1997 and 2002 were linked to the information on the inpatient claim data for hospitalization. Study Design. The physicians' incidence density of hospitalization was compared with that of the general population, other health personnel, and nurses to compute the calendar year-, age-, and gender-standardized hospitalization ratios (SHRs). A multivariate log-linear model was also used to assess the effects of gender, age, type of contract, and specialty on the risks of hospitalization. Principal Findings. Compared with the general population, physicians experienced significantly reduced risks of all causes (SHR 5 54.5, 95 percent confidence interval [CI] 53.4-55.5) and all major cause-specific hospitalizations, especially mental disorders (SHR 5 6.9, 95 percent CI 5.8-8.4). On the other hand, compared with other health personnel, physicians had a small but significantly higher risk of all causes of hospitalization (SHR 5 107.8, 95 percent CI 105.1-110.6). Higher risks of hospitalization were also noted for neoplasms (SHR 5 108.9,) and diseases of the respiratory system (SHR 5 114.2, 95 percent CI 107.3-121.5). In addition to the above diagnoses, physicians also had significantly higher risks for genitourinary and musculoskeletal system and connective tissue problems than nurses. Compared with their physician colleagues, female physicians, young (o30 years) and older ( 60 years) physicians, and those working with the health institutions and programs were at elevated risks of hospitalization for all causes as well as for certain specific diseases. Conclusions. Physicians in Taiwan are at higher risks of developing specific diseases compared with their allied health colleagues. As the health of physicians is vital to the quality of care, Taiwanese health policy analysts should recognize that increased patient volume and satisfaction with public health care should not be achieved at the expense of physicians' health.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Risks and Causes of Hospitalizations among Physicians in Taiwan

Lin

Yang

Sung

et al. 2007

Health Services Research

View full text Add to dashboard Cite

show abstract

“…A cross-sectional self-reported survey indicated that the female physicians had a higher risk of impaired health status than male colleagues; [29] another large-scale health survey showed women's morbidity and use of medical resources was higher than men's. [30] Thus, differences in underlying health status between female and male physicians may partially account for this finding.…”

Section: Discussionmentioning

confidence: 99%

Postoperative adverse outcomes among physicians receiving major surgeries

et al. 2016

View full text Add to dashboard Cite

Outcomes after surgeries involving physicians as patients have not been researched. This study compares postoperative adverse events between physicians as surgical patients and nonhealth professional controls.Using reimbursement claims data from Taiwan's National Health Insurance Program, we conducted a matched retrospective cohort study of 7973 physicians as surgical patients and 7973 propensity score–matched nonphysician controls receiving in-hospital major surgeries between 2004 and 2010. We compared postoperative major complications, length of hospital stay, intensive care unit (ICU), medical expenditure, and 30-day mortality.Compared with nonphysician controls, physicians as surgical patients had lower adjusted odds ratios (ORs) with 95% confidence intervals (CIs) of postoperative deep wound infection (OR 0.63, 95% CI 0.40–0.99; P < 0.05), prolonged length of stay (OR 0.68, 95% CI 0.62–0.75; P < 0.0001), ICU admission (OR 0.74, 95% CI 0.66–0.83; P < 0.0001), and increased medical expenditure (OR 0.80, 95% CI 0.73–0.88; P < 0.0001). Physicians as surgical patients were not associated with 30-day in-hospital mortality after surgery. Physicians working at medical centers (P < 0.05 for all), dentists (P < 0.05 for all), and those with fewer coexisting medical conditions (P < 0.05 for all) had lower risks for postoperative prolonged length of stay, ICU admission, and increased medical expenditure.Although our study's findings suggest that physicians as surgical patients have better outcomes after surgery, future clinical prospective studies are needed for validation.

show abstract

“…The relation between job strain and musculoskeletal symptoms has been reported in several studies (18,19), as has cardiovascular disease (20) and improved health status (21). Using the Swedish SF-36 Health Survey to investigate health status among GPs in Sweden, Sundquist and Johansson (7,8) found that there was an increased risk of poor health among female GPs and an impaired quality of life among GPs in general. In the present study, there was a fairly moderate level of strains and symptoms, although it was female GPs who scored most as unfavourable.…”

Section: Gendermentioning

confidence: 99%

“…In the UK, overall job satisfaction declined among GPs between 1987 and 1998, while female GPs were generally more satis ed than their male colleagues (6). Sundquist and Johansson (7) found that low work control and high demands among GPs in Sweden were associated with impaired general health and well-being, and that female GPs had impaired health status (8).…”

mentioning

confidence: 99%