From the Department of Neurology and Neuroscience, Weill Medical College of Cornell University, New York, NY, and the Department of Neurology, Baylor College of Medicine, Houston, TX (Dr. Evans); Department of Neurology, Epidemiology, and Population Health, Albert Einstein College of Medicine, Bronx, NY (Dr. Lipton); and Department of Statistics, Rice University, Houston, TX (Ms. Ritz).
A Survey of Neurologists on Self-treatment and Treatment of Their Families
Article first published online: 17 NOV 2006
Headache: The Journal of Head and Face Pain
Volume 47, Issue 1, pages 58–64, January 2007
How to Cite
Evans, R. W., Lipton, R. B. and Ritz, K. A. (2007), A Survey of Neurologists on Self-treatment and Treatment of Their Families. Headache: The Journal of Head and Face Pain, 47: 58–64. doi: 10.1111/j.1526-4610.2006.00627.x
- Issue published online: 17 NOV 2006
- Article first published online: 17 NOV 2006
- Accepted for publication June 7, 2006.
- treatment of physician's family members;
Background.—Although neurologists commonly self-treat for migraine and other conditions, little is known about the patterns of self-treatment by physicians in the United States.
Objectives.—The aim was to obtain information about neurologist's self-treatment and treatment of family members and their attitudes about self-treatment by other physicians.
Methods.—A survey was performed among neurologists attending the Texas Neurological Society's Winter Conference using a questionnaire about self-treatment and treatment of family members during the prior 12 months and attitudes about self-treatment by other physicians.
Results.—Among 186 physicians invited to participate, the response rate was 48%. Although 76% reported having primary care physicians, neurologists reported the following behaviors: 38% self-diagnosed or self-treated medical conditions including migraine in 25%; 56% started themselves on prescription medications including 21% who used triptans and 15% who used migraine preventive medications; 33% ordered blood tests on themselves; and 20% ordered imaging studies on themselves. Sixty percent reported missing no work due to illness, 87% missed 2 days or less, and 99% reported missing 1 week or less. Eighty percent reported treating their family members for acute minor illnesses and 33% for chronic conditions. The following percentage of participants reported that they would be likely to self-diagnose and self-treat the following hypothetical illnesses: 70%, migraines which were not severe; 19%, new onset frequent headaches; and 48%, chronic daily headaches. The following percentage of participants agreed or strongly agreed that the following behaviors were acceptable for physicians: 94%, self-treat acute minor illnesses; 37%, self-treat chronic conditions; 42%, order blood test for diagnostic purposes; 40%, order imaging studies for diagnostic purposes; 87%, treat family members for acute minor conditions; and 36%, treat family members for chronic conditions.
Conclusions.—Neurologists commonly treat themselves and family members.