Professional satisfaction experienced when caring for substance-abusing patients: faculty and resident physician perspectives
- PMID: 12047735
- PMCID: PMC1495049
- DOI: 10.1046/j.1525-1497.2002.10520.x
Professional satisfaction experienced when caring for substance-abusing patients: faculty and resident physician perspectives
Abstract
This survey aimed to describe and compare resident and faculty physician satisfaction, attitudes, and practices regarding patients with addictions. Of 144 primary care physicians, 40% used formal screening tools; 24% asked patients' family history. Physicians were less likely (P <.05) to experience at least a moderate amount of professional satisfaction caring for patients with alcohol (32% of residents, 49% of faculty) or drug (residents 30%, faculty 31%) problems than when managing hypertension (residents 76%, faculty 79%). Interpersonal experience with addictions was common (85% of faculty, 72% of residents) but not associated with attitudes, practices, or satisfaction. Positive attitudes toward addiction treatment (adjusted odds ratio [AOR], 4.60; 95% confidence interval [95% CI], 1.59 to 13.29), confidence in assessment and intervention (AOR, 2.49; 95% CI, 1.09 to 5.69), and perceived responsibility for addressing substance problems (AOR, 5.59; CI, 2.07 to 15.12) were associated with greater satisfaction. Professional satisfaction caring for patients with substance problems is lower than that for other illnesses. Addressing physician satisfaction may improve care for patients with addictions.
References
-
- Harwood HJ, Fountain D, Livermore D. The Economic Costs of Alcohol and Drug Abuse in the U.S.–1992. Washington, DC: National Institute on Drug Abuse; 1998. pp. 98–4327. NIH Publication Number.
-
- Cleary PD, Miller M, Bush BT, Warbury MM, Delbanco TL, Aronson MD. Prevalence and recognition of alcohol abuse in a primary care population. Am J Med. 1988;85:466–71. - PubMed
-
- Institute of Medicine. Broadening the Base of Treatment for Alcohol Problems: Report of a Study by a Committee of the Institute of Medicine, Division of Mental Health and Behavioral Medicine. Washington, DC: National Academy Press; 1990.
-
- Council on Scientific Affairs AMA (American Medical Association) AMA Guidelines for Physician Involvement in the Care of Substance Abusing Patients. Chicago, Ill: American Medical Association; 1979.
-
- Friedmann PD, Saitz R, Samet JH. Management of adults recovering from alcohol or other drug problems. JAMA. 1998;279:1227–31. - PubMed