Substance Use Disorders Among Danish Physicians

Sørensen, Johanne Korsdal; Pedersen, Anette Fischer; Vedsted, Peter; Bruun, Niels Henrik; Christensen, Bo

doi:10.1097/adm.0000000000000228

Cited by 16 publications

(9 citation statements)

References 27 publications

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“…A similar proportion of the health professionals (66-69%) say they acted upon an actual impairment or incompetence presumption [5,32], including talking with the colleague, reporting the colleague to the board of the organization or other relevant authority, or discussing the experience with colleagues. These studies did not investigate factors associated with taking actual action upon a presumption of impairment or incompetence [18].…”

Section: Plos Onementioning

confidence: 99%

“…The lifetime prevalence of SUD in physicians is, according to American numbers, slightly higher (15.4%) than in the general population (12.6%) [11,12]. In Europe, hazardous alcohol and drug use among physicians are estimated at 18-23% and 3% respectively [13][14][15][16][17][18][19]. Compared to the general population, physicians more often use alcohol and prescription medicines, including sedatives and opioids [20,21].…”

Section: Introductionmentioning

confidence: 99%

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Physicians' norms and attitudes towards substance use in colleague physicians: A cross-sectional survey in the Netherlands

Geuijen

Rond²,

Kuppens³

et al. 2020

PLoS ONE

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Data Availability Statement: The data of the current survey study are hosted by the Royal Dutch Medical Association. Their policy is not to make the current data publicly available, for two reasons. First, participants did not provide informed consent for data-sharing. Second, the Royal Dutch Medical Association considers data on substance use (disorders) among physicians as sensitive information, that cannot be shared. However, the data used for the current study are available for researchers who meet the criteria for access to confidential data, after approval from the internal Conclusions About one-third of physicians reported experience with a presumption of substance use in a colleague. Whilst most physicians intend to take action upon such a presumption, two-thirds actually do act upon a presumption. To bridge this intention-behavior gap continued medical education on signs and symptoms of SUD and instructions on how to enter a supportive dialogue with a colleague about personal issues, may enhance physicians' knowledge, confidence, and ethical responsibility to act upon a presumption of substance use or other concerns in a colleague.

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Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physicians' norms and attitudes towards substance use in colleague physicians: A cross-sectional survey in the Netherlands

Geuijen

Rond²,

Kuppens³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Ideally, registries are linked on a unique identifier, ensuring a near-perfect link. This method has frequently been used by the Danish hip arthroplasty register where the possibility exists to link medical databases on individual social security numbers [2]. When linkage on a unique identifier is not possible, due to for instance privacy reasons, non-unique identifiers have to be used [3].…”

Section: Introductionmentioning

confidence: 99%

Data linkage of two national databases: Lessons learned from linking the Dutch Arthroplasty Register with the Dutch Foundation for Pharmaceutical Statistics

Brug

Rosendaal²,

Steenbergen³

et al. 2023

PLoS ONE

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Background To provide guidance on data linkage in case of non-unique identifiers, we present a case study linking the Dutch Foundation for Pharmaceutical Statistics and Dutch Arthroplasty Register to investigate opioid prescriptions before/after arthroplasty. Methods Deterministic data linkage was used. Records were linked on: sex, birthyear, postcode, surgery date, or thromboprophylaxis initiation as a proxy for the surgery date. Different postcodes were used, depending on availability: patient postcode (available from 2013 onwards), hospital postcode with codes for physicians/hospitals, and hospital postcode with catchment area. Linkage was assessed in several groups: linked arthroplasties, linked on patient postcode, linked on patient postcode, and low-molecular-weight heparin(LWMH). Linkage quality was assessed by checking prescriptions after death, antibiotics after revision for infection, and presence of multiple prostheses. Representativeness was assessed by comparing the patient-postcode-LMWH group with the remaining arthroplasties. External validation was performed by comparing our opioid prescription rates with those derived from datasets from Statistics Netherlands. Results We linked 317,899 arthroplasties on patient postcode/hospital postcode(48%). Linkage on the hospital postcode appeared insufficient. Linkage uncertainty ranged from roughly 30% in all arthroplasties to 10–21% in the patient-postcode-LMWH-group. This subset resulted in 166.357(42%) linked arthroplasties after 2013 with somewhat younger age, fewer females, and more often osteoarthritis than other indications compared to the other arthroplasties. External validation showed similar increases in opioid prescription rates. Conclusions After identifier selection, checking data availability and internal validity, assessing representativeness, and externally validating our results we found sufficient linkage quality in the patient-postcode-LMWH-group, which consisted of around 42% of the arthroplasties performed after 2013.

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“…According to American numbers, the lifetime prevalence of SUD in physicians is slightly higher (15.4%) than in the general population (12.6%) (1). In Europe, hazardous alcohol and drug use among physicians were estimated at 18-23 and 3%, respectively (2)(3)(4)(5). In France, data regarding French physicians' alcohol behaviors are scarce, but hazardous drinking and consumption of hypnotics seem to increase especially among young physicians (6).…”

Section: Introductionmentioning

confidence: 99%

The consumption of psychoactive substances among French physicians: how do they perceive the creation of a dedicated healthcare system?

Jullian,

Deltour,

Franchitto

2023

Front. Psychiatry

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IntroductionSubstance use among physicians can have negative impacts on their health, quality of life, and patient care. While Physician Health Programs (PHPs) have proven effective, many physicians with substance use disorders (SUDs) still face obstacles in seeking help. Our study explores the expectations, attitudes, and experiences of French physicians regarding the implementation of a specialized healthcare system (SHS) for addiction, and their opinions on the factors that could improve the effectiveness of such a service, with a focus on substance use disorders (SUDs).MethodsWe conducted a web-based survey from April 15 to July 15, 2021, which included questions about sociodemographic characteristics, substance use, and attitudes toward a specialized healthcare system (SHS) for physicians with SUDs.ResultsOf the 1,093 respondents (62.5% female), 921 consumed alcohol (84.2%), and 336 (36.4%) were categorized as hazardous drinkers (AUDIT-C ≥ 4 for women and ≥ 5 for men). The mean AUDIT-C score was 3.5 (±1.7 SD), with a range from 1 to 12. Factors associated with hazardous alcohol consumption included coffee consumption [OR 1.53 (1.11–2.12)], psychotropic drug use [OR 1.61 (1.14–2.26)], cannabis use [OR 2.96 (1.58–5.55)], and other drug use [OR 5.25 (1.92–14.35)]. On the other hand, having children was associated with non-hazardous alcohol consumption [OR 0.62 (0.46–0.83)]. Only 27 physicians (2.9%) had consulted a specialist in addiction medicine, while 520 (56.4%) expressed interest in such a consultation. The main barriers to accessing a dedicated consultation were denial (16.3%), physician self-medication (14.3%), fear of judgment (12.8%), and confidentiality concerns (10.2%).ConclusionA specialized consultation with trained professionals in a neutral location can improve access to care for healthcare workers and maintain patient confidentiality and anonymity. Prevention and awareness can reduce addiction stigma and help peers in need. The improvement of healthcare workers’ addiction culture and detection of addictive behavior in peers depends on academic addiction medicine.

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Substance Use Disorders Among Danish Physicians

Cited by 16 publications

References 27 publications

Physicians' norms and attitudes towards substance use in colleague physicians: A cross-sectional survey in the Netherlands

Physicians' norms and attitudes towards substance use in colleague physicians: A cross-sectional survey in the Netherlands

Data linkage of two national databases: Lessons learned from linking the Dutch Arthroplasty Register with the Dutch Foundation for Pharmaceutical Statistics

The consumption of psychoactive substances among French physicians: how do they perceive the creation of a dedicated healthcare system?

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