Hidden Risk: Clinician Substance Use - Takeaways - MDSpire

Hidden Risk: Clinician Substance Use

  • By

  • Kerri Miller

  • March 5, 2026

  • 4 min

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  • 1

    A longitudinal study in Sweden found that healthcare workers with substance use issues rated their care quality as poor one year later.

  • 2

    3.8% of participants met criteria for problem drinking, while 1.3% reported illicit drug use, with variations between physicians and nurses.

  • 3

    At follow-up, 15.9% of all participants rated their care quality as poor, increasing to 28.9% among those with illicit drug use.

  • 4

    Self-reported substance use was associated with poor care quality, highlighting the need for nonpunitive support systems in healthcare.

  • 5

    The study's limitations include potential underreporting of substance use and modest response rates, affecting generalizability.

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