Do GPs practice what they preach? A questionnaire study of GPs' treatments for themselves and their patients.
Anecdotal evidence indicates a difference between doctors' health seeking behaviours for their patients and for themselves. This difference remains untested. This study aimed to assess any differences between the first-line treatment options GPs would accept for themselves and those they would advise their patients. A postal questionnaire was completed by 286 GPs based in two west London Health Authorities (response rate 51.4%) asking them to score the treatment options of 6 common symptoms for both themselves and their patients in terms of over the counter (OTC) remedies, prescriptions, referrals and complementary therapies. The results showed that GPs differentiated between themselves and their patients in terms of OTC remedies for indigestion and depression, prescriptions for indigestion, hypertension, depression and 'tired all the time' (TATT); referrals for indigestion, hypertension, low back pain and TATT; and complementary therapy for depression. GPs may be prepared to cross the boundary be treated the same as their patients if the symptoms are relatively uncontroversial. Stigmatised problems and those with clinical guidelines, however, seem to result in a 'do as I say not as I do' approach to health care.
Gardner
Mary
M
Department of General Practice, Guys Kings and St. Thomas's School of Medicine, Kings College London, 5 Lambeth Walk, London SE 11 6SP, UK.
Ogden
Jane
J
D001291:Attitude of Health Personnel; D000529:Complementary Therapies / Q000379:methods; D003863:Depression / Q000628:therapy; D011307:Drug Prescriptions; D004415:Dyspepsia / Q000628:therapy; D005194:Family Practice / Q000379:methods*; D005221:Fatigue / Q000628:therapy; D005260:Female; D019983:Guideline Adherence / Q000592:standards; D019538:Health Care Surveys; D006801:Humans; D006973:Hypertension / Q000628:therapy; D008131:London; D017116:Low Back Pain / Q000628:therapy; D008297:Male; D008875:Middle Aged; D004366:Nonprescription Drugs / Q000627:therapeutic use; D010821:Physicians, Family / Q000523:psychology*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration; D012648:Self Care / Q000379:methods* / Q000523:psychology; D012852:Sinusitis / Q000628:therapy; D013240:Stereotyping; D011795:Surveys and Questionnaires
D004366:Nonprescription Drugs