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Differential reporting of work-related mental ill-health in doctors
Evidence suggests that the medical profession is reluctant to report mental ill-health despite its high prevalence. To compare differential reporting patterns in the incidence of work-related mental ill-health (WRMIH) affecting doctors with selected comparison occupational groups, as determined by s...
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Published in: | Occupational medicine (Oxford) 2017-10, Vol.67 (7), p.522-527 |
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creator | Zhou, A Y Carder, M Hussey, L Gittins, M Agius, R |
description | Evidence suggests that the medical profession is reluctant to report mental ill-health despite its high prevalence.
To compare differential reporting patterns in the incidence of work-related mental ill-health (WRMIH) affecting doctors with selected comparison occupational groups, as determined by surveillance by general practitioners (GPs), specialist psychiatrists and occupational physicians (OPs).
New cases of medically reported WRMIH were reported prospectively between 2006 and 2009 by GPs, psychiatrists and OPs as part of The Health and Occupation Research (THOR) network. For GP and psychiatry reporting schemes, incidence rates (IRs) for doctors, nurses, teachers, corporate managers and protective service workers were calculated using information from the Labour Force Survey as the denominator. In OP surveys, participating reporters provided denominator information to calculate IRs for doctors, nurses and teachers.
Average annual IRs expressed per 100000 person/years employed as reported by GPs, psychiatrists and OPs, respectively, were: doctors (309, 971, 430), nurses (891, 208, 670), teachers (1040, 136, 210) and for GPs and psychiatrists, respectively, were: protective service workers (1432, 721) and corporate managers (428, 90). Psychiatrists reported a higher incidence of WRMIH in doctors, whereas GPs reported higher incidences of WRMIH in other occupations (chi-squared test, P < 0.001).
The distribution of the incidence of new cases reported across different schemes suggests a differential reporting pattern of WRMIH in doctors. The higher IR for doctors in psychiatrist-reported WRMIH could be due to factors such as disease severity and bypassing formal referral channels. |
doi_str_mv | 10.1093/occmed/kqx109 |
format | article |
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To compare differential reporting patterns in the incidence of work-related mental ill-health (WRMIH) affecting doctors with selected comparison occupational groups, as determined by surveillance by general practitioners (GPs), specialist psychiatrists and occupational physicians (OPs).
New cases of medically reported WRMIH were reported prospectively between 2006 and 2009 by GPs, psychiatrists and OPs as part of The Health and Occupation Research (THOR) network. For GP and psychiatry reporting schemes, incidence rates (IRs) for doctors, nurses, teachers, corporate managers and protective service workers were calculated using information from the Labour Force Survey as the denominator. In OP surveys, participating reporters provided denominator information to calculate IRs for doctors, nurses and teachers.
Average annual IRs expressed per 100000 person/years employed as reported by GPs, psychiatrists and OPs, respectively, were: doctors (309, 971, 430), nurses (891, 208, 670), teachers (1040, 136, 210) and for GPs and psychiatrists, respectively, were: protective service workers (1432, 721) and corporate managers (428, 90). Psychiatrists reported a higher incidence of WRMIH in doctors, whereas GPs reported higher incidences of WRMIH in other occupations (chi-squared test, P < 0.001).
The distribution of the incidence of new cases reported across different schemes suggests a differential reporting pattern of WRMIH in doctors. The higher IR for doctors in psychiatrist-reported WRMIH could be due to factors such as disease severity and bypassing formal referral channels.</description><identifier>ISSN: 0962-7480</identifier><identifier>EISSN: 1471-8405</identifier><identifier>DOI: 10.1093/occmed/kqx109</identifier><identifier>PMID: 29016829</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Aged ; Chi-Square Distribution ; Female ; General Practitioners - psychology ; Humans ; Incidence ; Male ; Mandatory Reporting ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Middle Aged ; Occupational Diseases - diagnosis ; Occupational Diseases - epidemiology ; Occupational Health - standards ; Physicians - psychology ; Population Surveillance - methods ; Prospective Studies ; Sex Factors ; United Kingdom - epidemiology</subject><ispartof>Occupational medicine (Oxford), 2017-10, Vol.67 (7), p.522-527</ispartof><rights>The Author 2017. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-46b86532337fd8cd92d39b33d7d1107e225ee2f71dc5d635c4ba0bbd4a9a07b03</citedby><cites>FETCH-LOGICAL-c332t-46b86532337fd8cd92d39b33d7d1107e225ee2f71dc5d635c4ba0bbd4a9a07b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29016829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, A Y</creatorcontrib><creatorcontrib>Carder, M</creatorcontrib><creatorcontrib>Hussey, L</creatorcontrib><creatorcontrib>Gittins, M</creatorcontrib><creatorcontrib>Agius, R</creatorcontrib><title>Differential reporting of work-related mental ill-health in doctors</title><title>Occupational medicine (Oxford)</title><addtitle>Occup Med (Lond)</addtitle><description>Evidence suggests that the medical profession is reluctant to report mental ill-health despite its high prevalence.
To compare differential reporting patterns in the incidence of work-related mental ill-health (WRMIH) affecting doctors with selected comparison occupational groups, as determined by surveillance by general practitioners (GPs), specialist psychiatrists and occupational physicians (OPs).
New cases of medically reported WRMIH were reported prospectively between 2006 and 2009 by GPs, psychiatrists and OPs as part of The Health and Occupation Research (THOR) network. For GP and psychiatry reporting schemes, incidence rates (IRs) for doctors, nurses, teachers, corporate managers and protective service workers were calculated using information from the Labour Force Survey as the denominator. In OP surveys, participating reporters provided denominator information to calculate IRs for doctors, nurses and teachers.
Average annual IRs expressed per 100000 person/years employed as reported by GPs, psychiatrists and OPs, respectively, were: doctors (309, 971, 430), nurses (891, 208, 670), teachers (1040, 136, 210) and for GPs and psychiatrists, respectively, were: protective service workers (1432, 721) and corporate managers (428, 90). Psychiatrists reported a higher incidence of WRMIH in doctors, whereas GPs reported higher incidences of WRMIH in other occupations (chi-squared test, P < 0.001).
The distribution of the incidence of new cases reported across different schemes suggests a differential reporting pattern of WRMIH in doctors. The higher IR for doctors in psychiatrist-reported WRMIH could be due to factors such as disease severity and bypassing formal referral channels.</description><subject>Adult</subject><subject>Aged</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>General Practitioners - psychology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Mandatory Reporting</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Middle Aged</subject><subject>Occupational Diseases - diagnosis</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Health - standards</subject><subject>Physicians - psychology</subject><subject>Population Surveillance - methods</subject><subject>Prospective Studies</subject><subject>Sex Factors</subject><subject>United Kingdom - epidemiology</subject><issn>0962-7480</issn><issn>1471-8405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNo1kMlOwzAURS0EoqWwZIvyA6aeEttLFCggVWID68gjNU3iYAcBf0-q0NUbdHSlewC4xugWI0nX0ZjO2fX-82c6T8ASM46hYKg8BUskKwI5E2gBLnL-QAhXTJBzsCByWgWRS1DfB-9dcv0YVFskN8Q0hv69iL74jmkPk2vV6GzRTcQEhLaFO6facVeEvrDRjDHlS3DmVZvd1f9cgbfNw2v9BLcvj8_13RYaSskIWaVFVVJCKfdWGCuJpVJTarnFGHFHSOkc8RxbU9qKloZphbS2TEmFuEZ0BeCca1LMOTnfDCl0Kv02GDUHGc0so5llTPzNzA9f-vA-0sf29A_vrl19</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Zhou, A Y</creator><creator>Carder, M</creator><creator>Hussey, L</creator><creator>Gittins, M</creator><creator>Agius, R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20171001</creationdate><title>Differential reporting of work-related mental ill-health in doctors</title><author>Zhou, A Y ; Carder, M ; Hussey, L ; Gittins, M ; Agius, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-46b86532337fd8cd92d39b33d7d1107e225ee2f71dc5d635c4ba0bbd4a9a07b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>General Practitioners - psychology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Mandatory Reporting</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Middle Aged</topic><topic>Occupational Diseases - diagnosis</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Health - standards</topic><topic>Physicians - psychology</topic><topic>Population Surveillance - methods</topic><topic>Prospective Studies</topic><topic>Sex Factors</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, A Y</creatorcontrib><creatorcontrib>Carder, M</creatorcontrib><creatorcontrib>Hussey, L</creatorcontrib><creatorcontrib>Gittins, M</creatorcontrib><creatorcontrib>Agius, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Occupational medicine (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, A Y</au><au>Carder, M</au><au>Hussey, L</au><au>Gittins, M</au><au>Agius, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential reporting of work-related mental ill-health in doctors</atitle><jtitle>Occupational medicine (Oxford)</jtitle><addtitle>Occup Med (Lond)</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>67</volume><issue>7</issue><spage>522</spage><epage>527</epage><pages>522-527</pages><issn>0962-7480</issn><eissn>1471-8405</eissn><abstract>Evidence suggests that the medical profession is reluctant to report mental ill-health despite its high prevalence.
To compare differential reporting patterns in the incidence of work-related mental ill-health (WRMIH) affecting doctors with selected comparison occupational groups, as determined by surveillance by general practitioners (GPs), specialist psychiatrists and occupational physicians (OPs).
New cases of medically reported WRMIH were reported prospectively between 2006 and 2009 by GPs, psychiatrists and OPs as part of The Health and Occupation Research (THOR) network. For GP and psychiatry reporting schemes, incidence rates (IRs) for doctors, nurses, teachers, corporate managers and protective service workers were calculated using information from the Labour Force Survey as the denominator. In OP surveys, participating reporters provided denominator information to calculate IRs for doctors, nurses and teachers.
Average annual IRs expressed per 100000 person/years employed as reported by GPs, psychiatrists and OPs, respectively, were: doctors (309, 971, 430), nurses (891, 208, 670), teachers (1040, 136, 210) and for GPs and psychiatrists, respectively, were: protective service workers (1432, 721) and corporate managers (428, 90). Psychiatrists reported a higher incidence of WRMIH in doctors, whereas GPs reported higher incidences of WRMIH in other occupations (chi-squared test, P < 0.001).
The distribution of the incidence of new cases reported across different schemes suggests a differential reporting pattern of WRMIH in doctors. The higher IR for doctors in psychiatrist-reported WRMIH could be due to factors such as disease severity and bypassing formal referral channels.</abstract><cop>England</cop><pmid>29016829</pmid><doi>10.1093/occmed/kqx109</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Chi-Square Distribution Female General Practitioners - psychology Humans Incidence Male Mandatory Reporting Mental Disorders - diagnosis Mental Disorders - epidemiology Middle Aged Occupational Diseases - diagnosis Occupational Diseases - epidemiology Occupational Health - standards Physicians - psychology Population Surveillance - methods Prospective Studies Sex Factors United Kingdom - epidemiology |
title | Differential reporting of work-related mental ill-health in doctors |
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