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[西班牙初级保健咨询中对性取向问题处理方式的评估:一项多中心比较研究(2004 - 2017年)]

[Evaluation of the approach to sexuality in primary care consultations in Spain: A multicentre comparative study (2004-2017)].

作者信息

Rojo-Villaescusa C, Zarco-Montejo J

机构信息

Medicina de familia, Centro de Salud Bustarviejo, Madrid, España.

Medicina de familia, Centro de Salud Ibiza, Madrid, España.

出版信息

Semergen. 2022 Jul-Aug;48(5):323-333. doi: 10.1016/j.semerg.2022.04.004. Epub 2022 May 20.

Abstract

OBJECTIVE

To describe how sexuality is addressed in general practitioners' (GP) consultations, as well as to compare the results of a questionnaire carried out in 2017 that updated the data obtained from a 2004 survey.

MATERIAL AND METHODS

Descriptive, analytical, multicentre study with 2cross-sections. Of the 3,500 GP who met the selection criteria (holding current accreditation as a resident tutor and being an active worker at the time of the study), 598 doctors participated in the survey in 2017 and 357 in 2004.

RESULTS

In both studies, the majority (98.6% in 2017 and 96% in 2004) consider that the sexual sphere is an important component in people's health, but less than half (40, 6% in 2017 and 21.6% in 2004) systematically recorded it in their clinical history. The main source of training in sexuality in both studies were continuing education courses (50.6% in 2017 and 31.4% in 2004). The main barriers found in both studies were lack of time (85.5% in 2017 and 82.1% in 2004) and lack of training (75.2% in 2017 and 74.5% in 2004).

CONCLUSIONS

GP are aware of the importance of sexuality in people's health, despite this, few professionals systematically record it in their medical records. The main source of training in sexuality is continuing education courses, which has increased in recent years. The main barriers in both studies are lack of time and poor training.

摘要

目的

描述全科医生(GP)会诊中如何处理性健康问题,并比较2017年进行的一项问卷调查结果,该调查更新了2004年一项调查所得的数据。

材料与方法

采用描述性、分析性、多中心研究,有两个横断面。在符合入选标准(持有当前住院医师导师资格且在研究时为在职人员)的3500名全科医生中,2017年有598名医生参与调查,2004年有357名。

结果

在两项研究中,大多数人(2017年为98.6%,2004年为96%)认为性健康领域是人们健康的重要组成部分,但不到一半(2017年为40.6%,2004年为21.6%)在临床记录中系统记录。两项研究中性健康培训的主要来源都是继续教育课程(2017年为50.6%,2004年为31.4%)。两项研究中发现的主要障碍是时间不足(2017年为85.5%,2004年为82.1%)和培训不足(2017年为75.2%,2004年为74.5%)。

结论

全科医生意识到性健康在人们健康中的重要性,尽管如此,很少有专业人员在病历中系统记录。性健康培训的主要来源是继续教育课程,近年来有所增加。两项研究中的主要障碍都是时间不足和培训不佳。

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