Hidden Risk: Clinician Substance Use
Longitudinal Swedish study finds physicians and nurses reporting problem drinking or illicit drug use had about twice the risk of rating their care as poor 1 year later
A longitudinal study in Sweden examined the relationship between substance use among health care workers and self-rated care quality. It found that physicians and nurses who reported problem drinking or illicit drug use were significantly more likely to evaluate their care quality as poor one year later. With 3,280 participants involved, the findings indicated that 28.9% of those with illicit drug use and 25% of those with problem drinking rated their care quality poorly. The study emphasizes the need for health programs supporting substance use in healthcare settings to protect both workers and patients.
1. 3,280 health care workers surveyed in Sweden. 2. Higher rates of illicit drug use in physicians. 3. Nurses reported more problem drinking. 4. 15.9% rated care quality as poor. 5. Substance use linked to lower self-rated care quality. 6. Study emphasizes nonpunitive approaches for substance issues. 7. Limitations: self-reporting bias, modest response rates. 8. Funded by Afa Insurance, no competing interests reported.