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Instituto Nacional de Salud Pública

2004, Number 4

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salud publica mex 2004; 46 (4)

Health institutions and physicians’ self-care

Arenas-Monreal L, Hernández-Tezoquipa I, Valdez-Santiago R, Bonilla-Fernández P

Language: Spanish
References: 29
Page: 326-332
PDF size: 105.08 Kb.


ABSTRACT

Objective. To analyze how self-care of health workers is influenced by their professional training and institutional setting. Material and Methods. This study took place from March 2000 to February 2001 in a health center, a general hospital, and a health research institute. Qualitative in-depth interviews were used to collect data. Four in-depth interviews were conducted among physicians at the study sites: two to primary care physicians and two to secondary care physicians. Results. Study findings show that physicians face barriers to self-care. Secondary care physicians were particularly affected by long work journeys and multiemployment. The main difficulties were associated with stress, nutrition, rest, and recreational activities. Physicians did not regularly have medical check-ups and would often simply consult with their colleagues in “hallway checkups” when they were afflicted by an illness. The physicians coincided in their recommendation that the health institutions should develop policies, programs, guidelines, and facilities to promote self-care among health workers. Conclusions. Health institutions are not designed or organized to promote selfcare among their personnel. In the case of secondary care physicians, the organizational structure often prevents them from engaging in healthy activities.


REFERENCES

  1. Bourdieu P. Cuestiones de sociología. Madrid: Itsmo; 2000:75-118.

  2. Geertz C. Conocimiento local. Ensayos sobre la interpretación de las culturas. Barcelona: Paidós; 1994:182.

  3. Freidson E. La profesión médica. Un estudio de sociología del conocimiento aplicado. Barcelona: Ediciones Península; 1977:82-83.

  4. Guillén M. Profesionales y burocracia: desprofesionalización, proletarización y poder profesional en las organizaciones complejas. Rev Esp Invest Sociol 1990;51:35-50.

  5. O’Connor M, Kelleher C. Doctors benefit from their profesión? A survey of medical practitioners’ health promotion and health safety practices. Ir Med J 1998;91(6):206-209.

  6. Baldwin M, Dodd M, Rennie JS. Young doctors’ health I. How do working conditions affect attitudes, health and performance? Soc Sci Med 1997;45(1):35-40.

  7. Baldwin M, Dodd M, Rennie JS. Young doctors’ health—II. Health and health behaviour. Soc Sci Med 1997;45(1): 41-44.

  8. Toyry S, Rasanen K, Kujala S, Aarimaa M, Juntunen J, Kalimo R. Selfreported health, illness, and self-care among Finnish physicians: A national survey. Arch Fam Med 2000;9(10):1079-1085.

  9. Rennert M, Hagoel L, Epstein L, Shifroni G. The care of family physicians and their families: A study of health and help-seeking behavior. Fam Pract 1990;7(2):96-99.

  10. Chambers R, Belcher J. Comparison of the health and lifestyle of general practitioners and teachers. Br J Gen Pract 1993;43(374): 378-382.

  11. Ponce de León O. El médico enfermo. Madrid: Centro de Investigaciones Sociológicas; 1997:59-197.

  12. Hahn RA. Sickness and healing. An anthropological perspective. Chelsea (MI): Yale University Press; 1995:234-261.

  13. Mccue J. The effects of stress on physicians on their medical practice. N Engl Med 1982;306 (8):458-463.

  14. Ortiz-Quesada F. El trabajo del médico. México, DF: JGH Editores; 1997:19-24.

  15. Tapia-Conyer R, Cravioto P, De la Rosa B, Galván F, García-de la Torre G, Kuri P. Cigarette smoking; knowledge and attitudes among Mexican physicians. Salud Publica Mex 1997;39:507-512.

  16. Gómez-García R, Grimaldi-Carpio A. Tabaquismo en el personal de salud: estudio en una unidad hospitalaria. Salud Publica Mex 1998;40: 53-57.

  17. Sansores RH, Villalba-Caloca J, Herrera-Kiengelher L, Soriano-Rodríguez A, Ramírez-Venegas A. Prevalence of cigarette smoking among employees of the Mexican National Institutes of Health. Salud PublicaMex 1999;41:381-388.

  18. Salmerón-Castro J, Arillo-Santillán E, Campuzano-Rincón JC, López-Antuñano FJ, Lazcano-Ponce EC. Tabaquismo en profesionales de la salud del Instituto Mexicano del Seguro Social, Morelos. Salud Publica Mex 2002;44 supl 1:567-575.

  19. Good-Byron J. Medicine, rationality, and experience. An anthropological perspective. United Kingdom: Cambridge University Press; 1997:65-87.

  20. Laín-Entralgo P. Antropología médica para clínicos. Barcelona: Salvat Editores SA; 1984:323-324.

  21. Berger AS. Arrogance among physicians. Acad Med 2002;77(2): 145-147.

  22. Novel G, Lluch MT, Miguel MD. Enfermería psicosocial y salud mental. Barcelona, España: Masson; 1995:49.

  23. Haro-Encinas JA. Cuidados profanos: una dimensión ambigua en la atención de la salud. En: Perdiguero E, Comelles JM, ed. Medicina y cultura. Estudios entre la antropología y la medicina. Barcelona: Ediciones Bellaterra; 2000:101-161.

  24. Menéndez E. Morir de alcohol. Saber y hegemonía médica. México, DF: Alianza Editorial Mexicana; 1990:110.

  25. McKinlay J. A favor de un nuevo enfoque hacia arriba: la economía política de la enfermedad. Bogotá, Colombia: Jaco; 1982:29.

  26. Bronfman M, Castro R, Zúñiga E, Miranda C, Oviedo J. Hacemos lo que podemos: los prestadores de servicios de salud frente al problema de la utilización. Salud Publica Mex 1997;39:546-553.

  27. Caplan RP. Stress, anxiety and depression in hospital consultant, general practitioners and senior health service managers.Br Med J 1994;309(6964):1261-1263.

  28. Heim E. Job stressors and coping in health professions. Psychother Psychosom 1991;55(2-4):90-99.

  29. Mingote AJC, Pérez-Corral F. El estrés del médico. Manual de autoayuda. Madrid, España: Ediciones Díaz de Santos; 1999:41-43.




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