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):67-72.
In a study on the diagnosis and treatment of erectile dysfunction (ED) in general practice, a self-selected sample of 90 general practitioners (GPs) (76 males, 14 females) from a predominantly urban population of 525 GPs were interviewed. It appeared that 59% would not actively interrogate a patient when an erection problem was suspected, either because of lack of time or lack of competence. A specific strategy for the management of erection problems was reported by 60% of the GPs. In practice, most GPs treated their own patients. About 60% of the GPs tried to keep up to date through reading and postgraduate courses. Impediments acknowledged in the interaction with patients were the experience of lack of knowledge and skills (63%) and emotional inhibitions to detailed questioning (49%). None of the GPs in this study had as yet utilized more recent treatment methods such as intracavernous drug injections and vacuum constriction devices. It is recommended that in postgraduate training courses GPs receive practical training in proper history taking and in the application of modern treatment methods.
在一项关于普通科医疗中勃起功能障碍（ED）诊断与治疗的研究中，对来自525名全科医生组成的以城市人口为主的群体中自行选取的90名全科医生（76名男性，14名女性）进行了访谈。结果显示，59%的医生在怀疑患者存在勃起问题时不会主动询问，原因要么是时间不足，要么是能力欠缺。60%的全科医生报告了处理勃起问题的特定策略。实际上，大多数全科医生治疗自己的患者。约60%的全科医生试图通过阅读和参加研究生课程来跟上最新知识。在与患者互动中公认的障碍是缺乏知识和技能（63%）以及对详细询问存在情感障碍（49%）。该研究中的全科医生均尚未采用诸如海绵体内药物注射和真空收缩装置等最新治疗方法。建议在研究生培训课程中，全科医生接受关于正确病史采集和现代治疗方法应用的实践培训。
