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Impact of hospital consultants' poor mental health on patient care

  • Cath Taylor (a1), Jill Graham (a1), Henry Potts (a1), Jenny Candy (a1), Michael Richards (a2) and Amanda Ramirez (a1)...

Summary

In a survey of 1794 UK NHS hospital consultants 1308 (73%) responded. Psychiatric morbidity (General Health Questionnaire—12 score ⩾4) was present in 32% of responders, who were twice as likely to report drinking hazardous levels of alcohol, being irritable with patients and colleagues, reducing their standards of care and intending to retire early (all P<0.001). Male and mid-aged consultants were also particularly at risk. Approaches that support consultants to practice medicine safely throughout their careers are required.

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Copyright

Corresponding author

Cath Taylor, Cancer Research UK London Psychosocial Group, Institute of Psychiatry, King's College London, St Thomas' Campus, London SE1 7EH, UK. Email: cath.taylor@kcl.ac.uk

Footnotes

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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes

References

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Firth-Cozens, J. & Greenhalgh, J. (1997) Doctors’ perceptions of the links between stress and lowered clinical care. Social Science and Medicine, 44, 10171022.
Goldberg, D. & Williams, P. (1988) A User's Guide to the General Health Questionnaire. nferNelson.
Graham, J. & Ramirez, A. J. (1997) Mental Health of hospital consultants. Journal of Psychosomatic Research, 43, 227231.
Saunders, J. B., Aasland, O. G., Babor, T. F., et al (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on the Early Detection of Persons with Harmful Alcohol Consumption–II. Addiction, 88, 791804.
Spickard, A., Gabbe, S. G. & Christensen, J. F. (2002) Mid-career burnout in generalist and specialist physicians. JAMA, 288, 14471450.
Taylor, C., Graham, J., Potts, H. W. W., et al (2005) Changes in mental health of UK hospital consultants since the mid 1990s. Lancet, 366, 742744.
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Impact of hospital consultants' poor mental health on patient care

  • Cath Taylor (a1), Jill Graham (a1), Henry Potts (a1), Jenny Candy (a1), Michael Richards (a2) and Amanda Ramirez (a1)...
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