van Hecke Oliver, Jones Kay M
Department of General Practice, Monash University, Melbourne, VIC 3168, Australia.
Int J Family Med. 2012;2012:768461. doi: 10.1155/2012/768461. Epub 2012 Aug 17.
Introduction. To consider the use of medical chaperones during certain clinical examinations is important whether one practises as a specialist, nurse, medical student, or generalist. Chaperones have been used by doctors conducting intimate examinations for many years but their true extent remains largely unknown. Until recently, there was no national guidance in Australia. Aim. To explore the attitudes and practices of general practitioners (GP) regarding their use of chaperones in urban Melbourne, Australia. Method. Qualitative two focus groups involving seventeen GPs from two locations. Discussions were audio-taped, transcribed verbatim and analysed. Results. Common themes and subthemes emerged which were grouped into three main areas: (a) practitioner-related, (b) patient-related and (c) practice related. Discussion. This is the first study from an Australian primary care perspective to gauge the attitudes and experiences of GPs on their use of chaperones. It will provide vital information to inform the next step of extending this research to a national GP audience. From an international perspective, this study provides an excellent template for other primary care clinicians to conduct research in this important field of doctor-patient relationship.
引言。无论作为专科医生、护士、医学生还是全科医生，在某些临床检查中考虑使用医疗陪诊员都很重要。多年来，进行私密检查的医生一直在使用陪诊员，但他们的实际使用范围在很大程度上仍然未知。直到最近，澳大利亚都没有全国性的指导意见。目的。探讨澳大利亚墨尔本市区全科医生（GP）在使用陪诊员方面的态度和做法。方法。对来自两个地点的17名全科医生进行了两个定性焦点小组访谈。讨论内容进行了录音、逐字转录并分析。结果。出现了共同的主题和子主题，这些被归纳为三个主要领域：（a）与从业者相关的，（b）与患者相关的，以及（c）与实践相关的。讨论。这是从澳大利亚初级保健角度衡量全科医生对使用陪诊员的态度和经验的第一项研究。它将提供重要信息，为将这项研究扩展到全国全科医生群体的下一步行动提供参考。从国际角度来看，这项研究为其他初级保健临床医生在医患关系这一重要领域开展研究提供了一个很好的模板。
