title: Confidentiality and physicians' health. A cross-sectional study of University Hospital Physicians in four European cities (the HOUPE-study).
abstract: OBJECTIVE
  To investigate how the subjective burden of confidentiality can act as a stressor that affects physicians' psychological health and wellbeing.
  
  
  METHODS
  Cross-sectional survey data from a sample of university hospital physicians (N=1,956) in four European countries (Sweden, Norway, Iceland and Italy) who participated in the HOUPE (Health and Organization among University hospital Physicians in Europe) study was analysed.
  
  
  RESULTS
  About 25% of the participants reported that confidentiality impedes emotional support to a considerable degree. An index of confidentiality as a barrier to seeking support (ICBS) had a negative effect on physicians' health and wellbeing. The effect of ICBS was confirmed and slightly increased when controlled for variables known to buffer the adverse mental and physical effects of stress. Though the physicians in Iceland and in Norway found confidentiality the most challenging, it was the physicians in Italy and Sweden who showed a significant effect of ICBS on their health and wellbeing.
  
  
  CONCLUSIONS
  Whether confidentiality is a stressor in its own right or an amplifier of stressful situations in medical practice should be further investigated to gain a better understanding of the effect of confidentiality on physicians' coping, stress and health. In addition, there is a need to investigate how physicians can balance coping with the inevitable emotional demands of medical practice and maintaining the ethics of confidentiality in a way that protects both patients' privacy rights and physicians' health and wellbeing.
authors.affiliation: Department of Research and Development, Division of Psychiatry (AFFU), St Olavs University Hospital, Trondheim, Norway. lise.lovseth@ntnu.no
authors.forename: Lise Tevik
authors.initials: LT
authors.lastname: Løvseth
authors.forename: Olaf Gjerløw
authors.initials: OG
authors.lastname: Aasland
authors.forename: Ann
authors.initials: A
authors.lastname: Fridner
authors.forename: Lilja Sigrun
authors.initials: LS
authors.lastname: Jónsdottir
authors.forename: Massimo
authors.initials: M
authors.lastname: Marini
authors.forename: Olav Morten
authors.initials: OM
authors.lastname: Linaker
mesh_terms: D000328:Adult; D003219:Confidentiality; D003430:Cross-Sectional Studies; D004644:Emotions; D005060:Europe; D005260:Female; D006304:Health Status; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000941:ethics / Q000523:psychology*; D013315:Stress, Psychological