Boekeloo B O, Marx E S, Kral A H, Coughlin S C, Bowman M, Rabin D L
Georgetown University School of Medicine, Department of Community and Family Medicine, Washington, DC 20007.
Am J Public Health. 1991 Dec;81(12):1645-8. doi: 10.2105/ajph.81.12.1645.
The US Preventive Services Task Force recommends that all primary care physicians assess the sexually transmitted disease/human immunodeficiency virus (STD/HIV) risk of all adolescent and adult patients. To determine whether factors amenable to change through continuing medical education are associated with frequent and thorough STD/HIV risk assessment, a telephone survey of primary care physicians in the Washington, DC metropolitan area was conducted (n = 961). Thirty-seven percent of physicians reported regularly asking new adult patients about their sexual practices; 60% asked new adolescent patients. STD/HIV risk questioning was associated with physicians' confidence in their ability to help prevent HIV, comfort with discussing patients' sexual practices, and perception of a large STD/HIV problem in their practice. These findings suggest that continuing medical education should target improvement in physicians' sexual practice questioning skills.
美国预防服务工作组建议，所有初级保健医生都应对所有青少年和成年患者的性传播疾病/人类免疫缺陷病毒（STD/HIV）风险进行评估。为了确定通过继续医学教育可改变的因素是否与频繁且全面的STD/HIV风险评估相关，对华盛顿特区大都市地区的初级保健医生进行了一项电话调查（n = 961）。37%的医生报告说会定期询问成年新患者的性行为；60%的医生会询问青少年新患者。STD/HIV风险询问与医生对自身预防HIV能力的信心、讨论患者性行为时的舒适度以及对其执业中存在大量STD/HIV问题的认知相关。这些发现表明，继续医学教育应着眼于提高医生询问性行为的技能。
