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全科医生对男性生殖与性健康教育及推广的态度。一项定性研究。

GP attitudes to male reproductive and sexual health education and promotion. A qualitative study.

作者信息

Poljski Carolyn, Tasker Caroline, Andrews Catherine, Wijesinha Sanjiva, Piterman Leon, de Kretser David

机构信息

Monash Institute of Reproduction and Development, Victoria.

出版信息

Aust Fam Physician. 2003 Jun;32(6):462-5.

Abstract

BACKGROUND

Despite evidence that men believe the general practitioner is an appropriate person to assist with sexual health issues, few men actually access medical practitioners for such assistance. Raising community awareness of male sexual and reproductive health issues is expected to generate a clinical demand for men's health services.

OBJECTIVE

The aim of this study was to determine GP perceptions of their own education needs and those of the community in the area of men's health.

DISCUSSION

A total of 27 GPs from four Victorian divisions of general practice (three metropolitan and one rural) participated in three focus groups. Key themes from the data were identified after analysis of the data by three researchers. General practitioners indicated that a clinical demand for men's health services needed to be generated in order for GPs to be interested in professional development. They suggested community education providing general information to men about sexual and reproductive health issues and emphasising the importance of accessing their GP for health checks. However, due to a lack of information for GPs about some areas of male sexual and reproductive health, e.g., androgen deficiency and male infertility, a case based practical approach to GP education was recommended. General practitioners also requested concrete information, current specialist recommendations and details of locally available services working in men's health.

摘要

背景

尽管有证据表明男性认为全科医生是帮助解决性健康问题的合适人选,但实际上很少有男性为此寻求医生的帮助。提高社区对男性性健康和生殖健康问题的认识有望产生对男性健康服务的临床需求。

目的

本研究的目的是确定全科医生对他们自己以及社区在男性健康领域教育需求的看法。

讨论

来自维多利亚州四个全科医学部门(三个都市地区和一个农村地区)的27名全科医生参加了三个焦点小组。三位研究人员对数据进行分析后确定了数据中的关键主题。全科医生表示,为了让他们对专业发展感兴趣,需要产生对男性健康服务的临床需求。他们建议开展社区教育,向男性提供有关性健康和生殖健康问题的一般信息,并强调就医进行健康检查的重要性。然而,由于全科医生缺乏关于男性性健康和生殖健康某些领域(如雄激素缺乏和男性不育)的信息,建议采用基于案例的实用方法对全科医生进行教育。全科医生还要求提供具体信息、当前的专家建议以及当地男性健康服务机构的详细信息。

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