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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorBraquehais Conesa, Mª Dolores
dc.contributor.authorVargas-Cáceres, Sebastián
dc.contributor.authorNieva Rifa, Gemma
dc.contributor.authorMantilla, Maria Fernanda
dc.contributor.authorOrtega, Germán
dc.contributor.authorValero, Sergi
dc.contributor.authorRamos Quiroga, José Antonio
dc.contributor.authorBruguera Cortada, Eugeni
dc.date.accessioned2022-05-31T08:29:31Z
dc.date.available2022-05-31T08:29:31Z
dc.date.issued2021-12
dc.identifier.citationBraquehais MD, Vargas-Cáceres S, Nieva G, Mantilla MF, Ortega G, Valero S, et al. Characteristics of resident physicians accessing a specialised mental health service: a retrospective study. BMJ Open. 2021 Dec;11(12):e055184.
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/11351/7598
dc.descriptionAdult psychiatry; Medical education & training; Mental health
dc.description.abstractObjectives Little is known about resident physicians being treated at physician health programmes around the world despite the fact that it is a highly demanding training period. This study aims to describe the profiles of resident physicians accessing a specialised mental health service in Spain over a 20-year period and to compare them to consultant-grade physicians. Design Retrospective observational study. Setting Medical records of the Galatea Care Programme for Sick Physicians. Participants 1846 physicians registered at the Barcelona Medical Council-Association and admitted to the programme from January 1998 to December 2018. Primary and secondary outcome measures Number of admissions, sociodemographic and clinical variables, including medical specialty, main diagnosis and need of hospitalisation. Results Residents accounted for 18.1% (n=335) of the sample and admissions increased over the years. Most residents (n=311; 94.5%) and consultant-grade physicians (n=1391; 92.8%) were self-referred. The most common specialty among residents was family medicine (n=107; 31.9%), followed by internal medicine (n=18; 5.4%), paediatrics (n=14; 4.2%), psychiatry (n=13; 3.9%) and anaesthesiology (n=13; 3.9%). Residents, regardless of year of training, mainly asked for help because of adjustment (n=131; 39.1%), affective (n=77; 23%), anxiety disorders (n=40; 18.8%) and addictions (n=19; 5.7%). There were no significant differences between groups in the main diagnosis and in the variables related to need of hospitalisation. The percentage of residents accessing the programme was higher than in the reference population registered at the Barcelona Medical Council-Association (18.1% vs 7.6%; z=7.2, p<0.001) as was the percentage of family medicine residents (31.9% vs 19.6%; z=5.7, p<0.001). Conclusions Residents are more likely than consultant-grade physicians to seek help when suffering from mental disorders. Local primary prevention actions since the beginning of their training period and having access to a well-known highly reliable programme may partly explain these findings.
dc.language.isoeng
dc.publisherBMJ
dc.relation.ispartofseriesBMJ Open;11(12)
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceScientia
dc.subjectAssistència psiquiàtrica
dc.subjectResidents (Medicina)
dc.subjectTrastorns d'ansietat
dc.subject.meshMental Health Services
dc.subject.meshInternship and Residency
dc.subject.meshAnxiety Disorders
dc.titleCharacteristics of resident physicians accessing a specialised mental health service: a retrospective study
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1136/bmjopen-2021-055184
dc.subject.decsservicios de salud mental
dc.subject.decsinternado y residencia
dc.subject.decstrastornos de ansiedad
dc.relation.publishversionhttp://dx.doi.org/10.1136/bmjopen-2021-055184
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Braquehais MD] Integral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain. Grup de Recerca en Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBERSAM, Barcelona, Spain. [Vargas-Cáceres S] Mental Health, Benito Menni, Adult Mental Health Service, L'Hospitalet de Llobregat, Catalonia, Spain. [Nieva G, Bruguera E] Integral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain. Servei de Psiquiatria, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Mantilla MF] Outpatient Service, Mental Health Service of Gracia, Barcelona, Catalonia, Spain. [Ortega G] Servei de Psiquiatria, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Valero S] Integral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain. ACE Alzheimer Center, Fundacio ACE, Barcelona, Catalonia, Spain. [Ramos-Quiroga JA] Grup de Recerca en Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBERSAM, Barcelona, Spain. Servei de Psiquiatria, Vall d'Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid34857580
dc.identifier.wos000726845300009
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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