Newton Danielle C, Fairley Christopher K, Teague Richard, Donovan Basil, Bowden Francis J, Bilardi Jade, Pitts Marian, Chen Marcus Y
School of Population Health, University of Melbourne, Vic. 3010, Australia.
Sex Health. 2007 Jun;4(2):95-7. doi: 10.1071/sh07025.
To examine the current practice and attitudes of Australian sexual health practitioners towards the use of chaperones for genital examinations.
In July 2006, an anonymous, self-completed questionnaire was mailed to members of the Australasian Chapter of Sexual Health Medicine.
Of the 166 questionnaires sent to practitioners, 110 (66%) were returned completed. Of the 110 respondents, only 9% and 19% reported that their clinic routinely provided chaperones for all male and female genital examinations, respectively. Among practitioners whose services did not offer chaperones routinely, chaperones were offered with a mean frequency of 19% for female examinations and 8% for male examinations (P = 0.01). Compared to female practitioners, significantly more male practitioners thought a chaperone was important for medico-legal purposes when examining females (72% v. 53%, P < 0.05). Compared to male practitioners, significantly more female practitioners thought a chaperone was sometimes important for patient support when examining male patients (52% v. 26%, P < 0.001). Only 39% (n = 18) of male practitioners and 36% (n = 23) of female practitioners felt that resources spent on chaperones were justified by the benefits they provided.
Despite only a minority of practitioners offering chaperones to patients or using them during examinations, many feel they are important for medico-legal reasons and as support for the patient. Best practice may be for services to routinely offer a chaperone and record instances where an offer is declined. This provides patients with choice and practitioners with some level of protection.
探讨澳大利亚性健康从业者在进行生殖器检查时使用陪诊人员的现行做法和态度。
2006年7月，向性健康医学澳大拉西亚分会成员邮寄了一份匿名的自填式问卷。
在发给从业者的166份问卷中，110份（66%）填好后被返还。在110名受访者中，分别只有9%和19%的人报告称其诊所常规为所有男性和女性生殖器检查提供陪诊人员。在那些服务机构不常规提供陪诊人员的从业者中，女性检查时提供陪诊人员的平均频率为19%，男性检查时为8%（P = 0.01）。与女性从业者相比，显著更多的男性从业者认为在检查女性时陪诊人员对医疗法律目的很重要（72%对53%，P < 0.05）。与男性从业者相比，显著更多的女性从业者认为在检查男性患者时陪诊人员有时对患者支持很重要（52%对26%，P < 0.001）。只有39%（n = 18）的男性从业者和36%（n = 23）的女性从业者认为花在陪诊人员上的资源因其提供的益处而合理。
尽管只有少数从业者为患者提供陪诊人员或在检查时使用陪诊人员，但许多人认为陪诊人员出于医疗法律原因以及对患者的支持很重要。最佳做法可能是服务机构常规提供陪诊人员并记录陪诊人员被拒绝的情况。这为患者提供了选择，并为从业者提供了一定程度的保护。
