Illness behaviour of general practitioners-a cross-sectional survey

Occup Med (Lond). 2017 Jan;67(1):33-37. doi: 10.1093/occmed/kqw135. Epub 2016 Oct 3.

Abstract

Background: International guidelines recommend that physicians should be registered with a general practitioner (GP) and should avoid self-treatment. Adherence to these recommendations is mixed.

Aims: To describe illness behaviour and chronic medical conditions of GPs in Germany.

Methods: Cross-sectional, observational questionnaire study. We contacted 1000 GPs by mail in April 2014. We asked about registration with a GP, chronic conditions and self-treatment. We undertook descriptive statistical analysis and analysed associations using t-tests and chi-square test.

Results: Two hundred and eighty-five responses (29%) were eligible for analysis. Nineteen per cent of GPs were registered as patients of a GP, 58% reported at least one chronic condition, 68% disclosed self-diagnosis and 60% self-treatment. Self-therapy for chronic conditions was inversely correlated with subjective severity of the disease (r = -0.159; P < 0.05).

Conclusions: The high rates of self-treatment and the low rate of registration with a GP of German GPs are in contrast to international guideline recommendations. Further research is needed to analyse specific reasons.

Keywords: Chronic condition; general practitioner; illness behaviour; physician health; self-treatment..

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • General Practitioners / psychology*
  • General Practitioners / statistics & numerical data
  • Germany
  • Humans
  • Illness Behavior*
  • Male
  • Middle Aged
  • Self Care / psychology
  • Self Care / standards
  • Self Care / statistics & numerical data
  • Surveys and Questionnaires