O'Donnell Máire, Viktrup Lars, Hunskaar Steinar
Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
Eur J Gen Pract. 2007;13(1):20-6. doi: 10.1080/14017430601049381.
To describe the role of general practitioners (GPs) in the initial management of women with urinary incontinence (UI) in four European countries with different healthcare systems.
Cross-sectional community postal survey of 2953 women with UI in France, Germany, Spain and the UK.
Forty-eight per cent of community-dwelling women with UI had discussed their UI with a doctor. More women discussed UI in France and Germany than in the UK and Spain. The patient usually raised the issue during consultations for some other reason. Fear of or actual deterioration in UI was the most important reason for discussing UI. Overall, 52% of incontinent women first discussed their UI with a GP, and almost a third of women reported having all their UI discussions in a GP setting. Twenty-nine per cent of women reported that GPs had either recommended treatment or monitoring of their condition before beginning treatment, and 24% reported that the GP had referred them to another doctor for evaluation and treatment. Most women in the UK first discussed UI with a GP, whereas in Germany most discussed UI with a specialist. In Spain and France, about half the women first discussed their UI with a GP.
GPs are involved to varying degrees in the initial management of UI in France, Germany, Spain and the UK. Even in countries where women have a choice of whether to see a GP or specialist about UI, many choose to have their first contact with a GP.
描述在四个拥有不同医疗体系的欧洲国家中，全科医生（GP）在女性尿失禁（UI）初始管理中的作用。
对法国、德国、西班牙和英国的2953名患有尿失禁的女性进行横断面社区邮政调查。
48%的社区居住的尿失禁女性曾与医生讨论过她们的尿失禁问题。在法国和德国，讨论尿失禁问题的女性比在英国和西班牙的更多。患者通常在因其他原因进行会诊时提出这个问题。对尿失禁的恐惧或实际病情恶化是讨论尿失禁问题的最重要原因。总体而言，52%的失禁女性首先与全科医生讨论她们的尿失禁问题，并且近三分之一的女性报告她们所有关于尿失禁的讨论都是在全科医生诊所进行的。29%的女性报告称，全科医生在开始治疗前要么推荐了治疗方法，要么建议对她们的病情进行监测，24%的女性报告称全科医生已将她们转诊给另一位医生进行评估和治疗。英国的大多数女性首先与全科医生讨论尿失禁问题，而在德国，大多数女性与专科医生讨论尿失禁问题。在西班牙和法国，约一半的女性首先与全科医生讨论她们的尿失禁问题。
在法国、德国、西班牙和英国，全科医生在尿失禁的初始管理中参与程度各不相同。即使在女性可以选择就尿失禁问题看全科医生或专科医生的国家，许多女性还是选择首先与全科医生接触。
