Cent Eur J Public Health 2014, 22(3):183-188

Medical Doctors in Hungary: 30 Years after Graduation. Data on Lifestyle, Morbidity, Demography and Differences between Specialties

Imre Rurik1, Endre Szigethy2, Zoltán Langmár3
1 Department of Family and Occupational Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary
2 Epidemiological Research Group of the Hungarian Academy of Science, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary
3 Second Department of Obstetrics and Gynaecology, University of Semmelweis, Budapest, Hungary

There are few studies from East and Central European countries on health-status, lifestyle and social circumstances of medical professionals. We evaluated data of a cohort of physicians who had graduated 30 years ago in Hungary and compared the data of their professional carrier, life style, health outcomes, and medical specialties. Questionnaires compiled by an expert group and filled in by 208 physicians (83 men and 125 women) were analysed. Men mostly work as surgeons, women were mostly employed as primary care specialists. Women changed their specialty and/or place of work more often than men. Male primary care physicians had more children than women and others specialists. At graduation, most of them had a normal BMI. Since then, a significant increase in weight and BMI was observed in both genders and across all specialty groups. The largest increase in body weight and BMI (mean 5.27) was recorded among female primary care physicians. Recorded physical activity was low in general, with male primary care specialists being most active and female primary care physicians the least. Female doctors in surgical specialties had longer resting time. Male physicians rarely participated in regular health screenings. The incidence of hypertension was higher than the Hungarian national average for that age. About 5% of primary care physicians identified themselves as regular smokers. Abstinence and regular daily alcohol consumption were reported in equal ratio. Burn-out symptoms were rarely experienced. This generation had started its medical profession before the significant progressive changes in the medicine occurred in the last decades. While physicians do not always follow their own professional advices, their lifestyle proved a little bit healthier than that of the population at large, especially for women and their health outcomes, except hypertension, were also better. In general, they were not satisfied with the financial and working conditions of the recent Hungarian healthcare system.

Keywords: demography, doctors, health, family physicians, lifestyle, morbidity, primary care, Hungary

Received: April 7, 2013; Revised: August 8, 2014; Accepted: August 8, 2014; Published: September 1, 2014  Show citation

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Rurik I, Szigethy E, Langmár Z. Medical Doctors in Hungary: 30 Years after Graduation. Data on Lifestyle, Morbidity, Demography and Differences between Specialties. Cent Eur J Public Health. 2014;22(3):183-188. PubMed PMID: 25438396.
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References

  1. Sesso HD, Gaziano JM, VanDenburgh M, Hennekens CH, Glynn RJ, Buring JE. Comparison of baseline characteristics and mortality experience of participants and nonparticipants in a randomized clinical trial: the Physicians' Health Study. Control Clin Trials. 2002 Dec;23(6):686-702. Go to original source...
  2. Ajani UA, Lotufo PA, Gaziano JM, Lee IM, Spelsberg A, Buring JE, et al. Body mass index and mortality among US male physicians. Ann Epidemiol. 2004 Nov;14(10):731-9. Go to original source... Go to PubMed...
  3. McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K; The SGIM Career Satisfaction Study Group. The work lives of women physicians: results from the Physician Work Life Study. J Gen Intern Med. 2000 Jun;15(6):372-80. Go to original source...
  4. Evans J, Lambert T, Goldacre M. GP recruitment and retention: a qualitative analysis of doctors' comments about training for and working in general practice. Occas Pap R Coll Gen Pract. 2002 Feb;(83):iii-vi, 1-33.
  5. Innos K, Rahu K, Baburin A, Rahu M. Cancer incidence and causespecific mortality in male and female physicians: a cohort study in Estonia. Scand J Public Health. 2002;30(2):133-40. Go to original source...
  6. Sebo P, Bouvier Gallacchi M, Goehring C, Künzi B, Bovier PA. Use of tobacco and alcohol by Swiss primary care physicians: a cross-sectional survey. BMC Public Health. 2007 Jan 12;7:5. Go to original source... Go to PubMed...
  7. Josseran L, King G, Guilbert P, Davis J, Brücker G. Smoking by French general practitioners: behaviour, attitudes and practice. Eur J Public Health. 2005 Feb;15(1):33-8. Go to original source... Go to PubMed...
  8. Wunsch MJ, Knisely JS, Cropsey KL, Campbell ED, Schnoll SH. Women physicians and addiction. J Addict Dis. 2007;26(2):35-43. Go to original source... Go to PubMed...
  9. Kumar P, Basu D. Substance abuse by medical students and doctors. J Indian Med Assoc. 2000 Aug;98(8):447-52. Go to PubMed...
  10. Sotiropoulos A, Gikas A, Spanou E, Dimitrelos D, Karakostas F, Skliros E, et al. Smoking habits and associated factors among Greek physicians. Public Health. 2007 May;121(5):333-40. Go to original source... Go to PubMed...
  11. Ostrowska A, Szewczyńiski JA. The assessment of health behaviours among Warsaw Medical University students. Wiad Lek. 2002;55 Suppl 1(Pt 2):831-5. (In Polish.)
  12. Tyssen R, Vaglum P. Mental health problems among young doctors: an updated review of prospective studies. Harv Rev Psychiatry. 2002 MayJun;10(3):154-65. Go to original source...
  13. Ádám S, Györffy Z, Harmatta J, Túry F, Kopp M, Szényei G. Psychiatric and somatic morbidity among Hungarian psychiatrists. Psychiatr Hung. 2010;25(1):55-61. (In Hungarian.) Go to PubMed...
  14. Noriega M, Gutiérrez G, Méndez I, Pulido M. Female health workers: lifestyle, work, and psychiatric disorders. Cad Saude Publica. 2004 SepOct;20(5):1361-72. (In Spanish.) Go to original source... Go to PubMed...
  15. Kay MP, Mitchell GK, Del Mar CB. Doctors do not adequately look after their own physical health. Med J Aust. 2004 Oct 4;181(7):368-70. Go to original source... Go to PubMed...
  16. Jurkat HB. Quality of life for physicians and women physicians. Experiences from empirical research. Dtsch Med Wochenschr. 2008 Jan;133(12):14-6. (In German.) Go to original source... Go to PubMed...
  17. Yearbook of health statistics, 2011. Budapest: Hungarian Central Statistical Office; 2012.
  18. Harms BA, Heise CP, Gould JC, Starling JR.A25-year single institution analysis of health, practice, and fate of general surgeons.Ann Surg. 2005 Oct;242(4):520-6; discussion 526-9. Go to original source... Go to PubMed...
  19. Mobilos S, Chan M, Brown JB. Women in medicine: the challenge of finding balance. Can Fam Physician. 2008 Sep;54(9):1285-1286.e5. Go to PubMed...
  20. Scott I, Gowans M, Wright B, Brenneis F, Banner S, Boone J. Determinants of choosing a career in family medicine. CMAJ. 2011 Jan 11;183(1):E1-8. Go to original source...
  21. Borges NJ, Hartung PJ. Stability of values during medical school. Med Teach. 2010;32(9):779-81. Go to original source... Go to PubMed...
  22. Creed PA, Searle J, Rogers ME. Medical specialty prestige and lifestyle preferences for medical students. Soc Sci Med. 2010 Sep;71(6):1084-8. Go to original source... Go to PubMed...
  23. Thompson WT, Cupples ME, Sibbett CH, Skan DI, Bradley T. Challenge of culture, conscience, and contract to general practitioners' care of their own health: qualitative study. BMJ. 2001 Sep 29;323(7315):728-31. Go to original source... Go to PubMed...
  24. Hummers-Pradier E, Beyer M, Chevallier P, Eilat-Tsanani S, Lionis C, Peremans L, et al. Research agenda for general practice/family medicine and primary health care in Europe. Maastricht: European General Practice Research Network; 2009. Go to original source...
  25. Szabó KJ, Ádány R, Balla J, Balogh Z, Boda Z, Édes I, et al. Advances in the prevention, diagnosis and therapy of vascular diseases. Orv Hetil. 2012 Apr 1;153(13):483-98. (In Hungarian.) Go to original source... Go to PubMed...
  26. Buddeberg-Fischer B, Stamm M. The medical profession and young physicians' lifestyles in flux: challenges for specialty training and health care delivery systems. Swiss Med Wkly. 2010 Dec 7;140:w13134. doi: 10.4414/smw.2010.13134. Go to original source... Go to PubMed...
  27. Oleszczyk M, Švab I, Seifert B, Krztoń-Królewiecka A, Windak A. Family medicine in post-communist Europe needs a boost. Exploring the position of family medicine in healthcare systems of Central and Eastern Europe and Russia. BMC Fam Pract. 2012 Mar 12;13:15. doi: 10.1186/1471-2296-13-15. Go to original source... Go to PubMed...
  28. Tomasik T, WindakA, Seifert B, Kersnik J, Palka M, Margas G, et al. The self-perceived role of general practitioners in care of patients with cardiovascular diseases.Asurvey in Central and Eastern European countries following health care reforms. Int J Cardiol. 2013Apr 15;164(3):327-33. Go to original source... Go to PubMed...