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全科医生在探索性健康问题和为女同性恋、男同性恋和双性恋患者提供性健康护理方面的培训需求。

The training needs of general practitioners in the exploration of sexual health matters and providing sexual healthcare to lesbian, gay and bisexual patients.

机构信息

University College Cork, Ireland.

出版信息

Med Teach. 2013 Sep;35(9):752-9. doi: 10.3109/0142159X.2013.801943. Epub 2013 Jun 28.

DOI:10.3109/0142159X.2013.801943
PMID:23808564
Abstract

BACKGROUND

General practitioners (GPs) have been identified as a key resource for people with sexual health concerns. However, research indicates that general practitioners feel unprepared to deal with sexual health, especially with lesbian, gay and bisexual (LGB) patients.

AIM

To identify the training needs of general practitioners in the exploration of sexual health matters and providing sexual healthcare to lesbian, gay and bisexual patients.

METHODS

Qualitative methodology using topic-guided interviews and focus groups with general practitioners and lesbian, gay, bisexual community members in Ireland. In addition, final year medical students at University College Cork completed a mixed-methods survey.

RESULTS

General practitioner participants rarely broached sexual health topics, and were unaware of the sexual orientation of their patients or the specific health needs of lesbian, gay and bisexual patients. Participants identified numerous barriers to the discussion of sexual health. To overcome these barriers, respondents recommended better medical training using a variety of methods to increase awareness of sexual and LGB health issues.

CONCLUSION

General practitioners in Ireland lack awareness of the unique health issues of lesbian, gay and bisexual patients and it is, therefore, essential that medical training programs develop better training curricula in sexual health and LGB health issues.

摘要

背景

全科医生(GP)被认为是关注性健康人群的重要资源。然而,研究表明,全科医生觉得自己没有准备好处理性健康问题,尤其是与女同性恋、男同性恋和双性恋(LGB)患者相关的问题。

目的

确定全科医生在探索性健康问题和为女同性恋、男同性恋、双性恋患者提供性保健方面的培训需求。

方法

采用定性方法,在爱尔兰对全科医生和女同性恋、男同性恋、双性恋社区成员进行了主题引导的访谈和焦点小组讨论。此外,科克大学学院的最后一年医学生还完成了一项混合方法调查。

结果

全科医生很少涉及性健康话题,也不知道患者的性取向或女同性恋、男同性恋和双性恋患者的具体健康需求。参与者确定了许多讨论性健康的障碍。为了克服这些障碍,受访者建议通过多种方法更好地进行医学培训,以提高对性和 LGB 健康问题的认识。

结论

爱尔兰的全科医生对女同性恋、男同性恋和双性恋患者的独特健康问题缺乏认识,因此,医学培训项目必须制定更好的性健康和 LGB 健康问题培训课程。

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