Celik Halime H, Klinge Ineke I, Weijden Trudy T van der, Widdershoven Guy G A M, Lagro-Janssen Toine A L M
Department of Health, Ethics and Society, School for Public Health and Primary Care (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, The Netherlands.
BMC Med Educ. 2008 Jun 26;8:36. doi: 10.1186/1472-6920-8-36.
Gender differences contribute to patients' health and illness. However in current healthcare practices attention to gender differences is still underdeveloped. Recognizing these differences and taking them into account can improve the quality of care. In this study we aimed to investigate whether GPs' gender sensitivity can be stimulated by a training programme. The focus was on three diseases: angina pectoris, depression and urinary incontinence.
This study had a quantitative, explorative and descriptive design. By means of a training programme 18 GPs were trained to focus on gender-sensitive recommendations for the three diseases. With standardised registration forms, data were collected during a 6-month period. During the registration period, the GPs were visited by the study team to discuss the process of data collection.
The GPs filled in registration forms for 100 patients: 39 with angina pectoris (31 women and 8 men), 40 with depression (26 women and 14 men), and 21 with urinary incontinence (20 women and 1 man). The results show that gender sensitivity can be stimulated among trained professionals. The combination of the training programme, clear and practical recommendations, daily discussion of relevant cases between the GP couples, feedback and support during registration by the study team probably contributed to the outcome.
GPs' gender sensitivity was stimulated by the training programme and the supporting visits. Ideally, structural attention could be realised by embedding gender issues in existing organisational structures of general practices.
性别差异影响患者的健康与疾病状况。然而在当前的医疗实践中,对性别差异的关注仍显不足。认识并考虑这些差异有助于提高医疗质量。在本研究中,我们旨在探究培训项目是否能激发全科医生的性别敏感度。研究重点关注三种疾病:心绞痛、抑郁症和尿失禁。
本研究采用定量、探索性和描述性设计。通过一个培训项目,对18名全科医生进行培训,使其关注针对这三种疾病的性别敏感建议。使用标准化登记表,在6个月期间收集数据。在登记期间,研究团队走访全科医生,讨论数据收集过程。
全科医生为100名患者填写了登记表:39例心绞痛患者(31名女性和8名男性),40例抑郁症患者(26名女性和14名男性),21例尿失禁患者(20名女性和1名男性)。结果表明,经过培训的专业人员的性别敏感度能够得到激发。培训项目、清晰实用的建议、全科医生之间日常对相关病例的讨论、研究团队在登记过程中的反馈与支持,这些因素共同促成了这一结果。
培训项目及辅助走访激发了全科医生的性别敏感度。理想情况下,可通过将性别问题纳入全科医疗的现有组织结构来实现系统性关注。