Abstract

Objectives: The health of physicians is an important topic which needs to be addressed in order to provide the best quality of patient care. However, there are few studies on the prevalence of chronic diseases among physicians. In this study, we explored the prevalence of chronic diseases among physicians and compared the probability of chronic diseases between physicians and the general population using a population-based data set in Taiwan. Study design: A cross-sectional study. Setting: Taiwan. Participants: Our study consisted of 1426 practising physicians and 5704 general participants. Primary outcome measures: We chose 22 chronic diseases from the Elixhauser Comorbidity index and nine highly prevalent medical conditions in an Asian population for analysis. We used conditional logistic regression analyses to investigate the OR and its corresponding 95% CI of chronic diseases between these two groups. Results: The conditional logistic regression analyses showed that physicians had lower odds of peripheral vascular disorders (OR=0.41, 95% CI=0.19 to 0.90), uncomplicated diabetes (OR=0.76, 95% CI=0.60 to 0.97), complicated diabetes (OR=0.53, 95% CI=0.34 to 0.83), renal failure (OR=0.41, 95% CI=0.19 to 0.90), liver diseases (OR=0.78, 95% CI=0.66 to 0.94), and hepatitis B or C (OR=0.62, 95% CI=0.49 to 0.77) and higher odds of hypertension (OR=1.21, 95% CI=1.03 to 1.41), hyperlipidaemia (OR=1.43, 95% CI=1.23 to 1.67) and asthma (OR=1.59, 95% CI=1.16 to 2.18) than the general population. Conclusions: We concluded that although physicians had decreased prevalence of some chronic diseases, they had a significantly increased prevalence of hypertension, hyperlipidaemia and asthma.

Original languageEnglish
Article numbere009954
JournalBMJ Open
Volume6
Issue number3
DOIs
Publication statusPublished - 2016

Fingerprint

Taiwan
Chronic Disease
Cross-Sectional Studies
Physicians
Hyperlipidemias
Population
Asthma
Logistic Models
Regression Analysis
Hypertension
Quality of Health Care
Hepatitis C
Hepatitis B
Renal Insufficiency
Blood Vessels
Comorbidity
Liver Diseases
Patient Care
Outcome Assessment (Health Care)
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prevalence of chronic diseases among physicians in Taiwan : A populationbased cross-sectional study. / Kao, Li Ting; Chiu, Yu Lung; Lin, Herng Ching; Lee, Hsin Chien; Chung, Shiu Dong.

In: BMJ Open, Vol. 6, No. 3, e009954, 2016.

Research output: Contribution to journalArticle

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title = "Prevalence of chronic diseases among physicians in Taiwan: A populationbased cross-sectional study",
abstract = "Objectives: The health of physicians is an important topic which needs to be addressed in order to provide the best quality of patient care. However, there are few studies on the prevalence of chronic diseases among physicians. In this study, we explored the prevalence of chronic diseases among physicians and compared the probability of chronic diseases between physicians and the general population using a population-based data set in Taiwan. Study design: A cross-sectional study. Setting: Taiwan. Participants: Our study consisted of 1426 practising physicians and 5704 general participants. Primary outcome measures: We chose 22 chronic diseases from the Elixhauser Comorbidity index and nine highly prevalent medical conditions in an Asian population for analysis. We used conditional logistic regression analyses to investigate the OR and its corresponding 95{\%} CI of chronic diseases between these two groups. Results: The conditional logistic regression analyses showed that physicians had lower odds of peripheral vascular disorders (OR=0.41, 95{\%} CI=0.19 to 0.90), uncomplicated diabetes (OR=0.76, 95{\%} CI=0.60 to 0.97), complicated diabetes (OR=0.53, 95{\%} CI=0.34 to 0.83), renal failure (OR=0.41, 95{\%} CI=0.19 to 0.90), liver diseases (OR=0.78, 95{\%} CI=0.66 to 0.94), and hepatitis B or C (OR=0.62, 95{\%} CI=0.49 to 0.77) and higher odds of hypertension (OR=1.21, 95{\%} CI=1.03 to 1.41), hyperlipidaemia (OR=1.43, 95{\%} CI=1.23 to 1.67) and asthma (OR=1.59, 95{\%} CI=1.16 to 2.18) than the general population. Conclusions: We concluded that although physicians had decreased prevalence of some chronic diseases, they had a significantly increased prevalence of hypertension, hyperlipidaemia and asthma.",
author = "Kao, {Li Ting} and Chiu, {Yu Lung} and Lin, {Herng Ching} and Lee, {Hsin Chien} and Chung, {Shiu Dong}",
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AU - Kao, Li Ting

AU - Chiu, Yu Lung

AU - Lin, Herng Ching

AU - Lee, Hsin Chien

AU - Chung, Shiu Dong

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N2 - Objectives: The health of physicians is an important topic which needs to be addressed in order to provide the best quality of patient care. However, there are few studies on the prevalence of chronic diseases among physicians. In this study, we explored the prevalence of chronic diseases among physicians and compared the probability of chronic diseases between physicians and the general population using a population-based data set in Taiwan. Study design: A cross-sectional study. Setting: Taiwan. Participants: Our study consisted of 1426 practising physicians and 5704 general participants. Primary outcome measures: We chose 22 chronic diseases from the Elixhauser Comorbidity index and nine highly prevalent medical conditions in an Asian population for analysis. We used conditional logistic regression analyses to investigate the OR and its corresponding 95% CI of chronic diseases between these two groups. Results: The conditional logistic regression analyses showed that physicians had lower odds of peripheral vascular disorders (OR=0.41, 95% CI=0.19 to 0.90), uncomplicated diabetes (OR=0.76, 95% CI=0.60 to 0.97), complicated diabetes (OR=0.53, 95% CI=0.34 to 0.83), renal failure (OR=0.41, 95% CI=0.19 to 0.90), liver diseases (OR=0.78, 95% CI=0.66 to 0.94), and hepatitis B or C (OR=0.62, 95% CI=0.49 to 0.77) and higher odds of hypertension (OR=1.21, 95% CI=1.03 to 1.41), hyperlipidaemia (OR=1.43, 95% CI=1.23 to 1.67) and asthma (OR=1.59, 95% CI=1.16 to 2.18) than the general population. Conclusions: We concluded that although physicians had decreased prevalence of some chronic diseases, they had a significantly increased prevalence of hypertension, hyperlipidaemia and asthma.

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