Broekman C P, van der Werff ten Bosch J J, Slob A K
Department of Endocrinology and Reproduction, Faculty of Medicine and Health Sciences, Erasmus University, Rotterdam, The Netherlands.
Int J Impot Res. 1994 Jun;6(2):59-65.
Ninety general practitioners (GPs) interviewed about 136 of their latest patients and 38 of these patients participated in a study on the diagnosis and treatment of erectile dysfunction (ED). On average one GP saw 4 patients with ED in one year. About half of these patients were 60 years or over, nearly all had steady relationships, and their level of education seemed to be above average. There was a median patient delay of about one year between the onset and presentation of the complaint. Doctors and patients differed markedly in their reports on the diagnosis and the treatment outcome. Doctors favoured a psychosocial cause, patients a somatic cause. In general, doctors had a more positive view on the results of treatment, while patients were often disappointed. Nevertheless, a much higher proportion of the patients than was expected by the doctors wished to renew contact with their doctor.
90名全科医生就他们最近诊治的136名患者接受了访谈,其中38名患者参与了一项关于勃起功能障碍(ED)诊断和治疗的研究。平均而言,一名全科医生一年会诊治4名ED患者。这些患者中约一半年龄在60岁及以上,几乎所有人都有稳定的伴侣关系,且他们的教育水平似乎高于平均水平。从症状出现到就诊,患者的中位延迟时间约为一年。医生和患者在关于诊断和治疗结果的报告上存在显著差异。医生倾向于认为是心理社会原因,而患者则认为是躯体原因。总体而言,医生对治疗结果的看法更为积极,而患者往往感到失望。然而,希望与医生再次联系的患者比例比医生预期的要高得多。