1,720,993 research outputs found
[Is "involuntary childlessness" within the realm of family medicine responsibility of the general practitioner?]
No full textGerman family physicians' attitudes toward care of involuntarily childless patients
No full textBackground and Objectives: Many family physicians regard fertility counseling out of their scope of practice, although key elements in the care of involuntarily childless couples fall within the theoretical framework of family practice. This study analyzed the doctors' value system concerning the care of infertile patients and whether a personal interview leads to a greater sensitivity toward fertility issues. Methods: We conducted 57 baseline and 51 follow-up interviews with family physicians in the area of Gottingen, Germany. We performed quantitative and qualitative analyses. Results: During the baseline interview all family physicians placed involuntary childlessness within the domain of fertility specialists or regarded it as patients' private matter. Fourteen family physicians (27%) considered fertility counseling more important at the follow-up interview than at the time of the baseline interview Judgemental views of infertile couples could be detected in both interviews. More than one third of the family physicians assumed a connection between the patients' childlessness and their personal behavior or way of living. Although the majority (73%) of the family physicians regarded involuntary childlessness as a disease and considered assisted conception techniques as legitimate, a recommendation for fee reimbursement for fertility services was rejected by more than half of the physicians. Conclusions: Most German family physicians do not consider that care of involuntarily childless couples is within or appropriate to their scope of practice
German family physicians' attitudes toward care of involuntarily childless patients
No full textBackground and Objectives: Many family physicians regard fertility counseling out of their scope of practice, although key elements in the care of involuntarily childless couples fall within the theoretical framework of family practice. This study analyzed the doctors' value system concerning the care of infertile patients and whether a personal interview leads to a greater sensitivity toward fertility issues. Methods: We conducted 57 baseline and 51 follow-up interviews with family physicians in the area of Gottingen, Germany. We performed quantitative and qualitative analyses. Results: During the baseline interview all family physicians placed involuntary childlessness within the domain of fertility specialists or regarded it as patients' private matter. Fourteen family physicians (27%) considered fertility counseling more important at the follow-up interview than at the time of the baseline interview Judgemental views of infertile couples could be detected in both interviews. More than one third of the family physicians assumed a connection between the patients' childlessness and their personal behavior or way of living. Although the majority (73%) of the family physicians regarded involuntary childlessness as a disease and considered assisted conception techniques as legitimate, a recommendation for fee reimbursement for fertility services was rejected by more than half of the physicians. Conclusions: Most German family physicians do not consider that care of involuntarily childless couples is within or appropriate to their scope of practice
[Is "involuntary childlessness" within the realm of family medicine responsibility of the general practitioner?]
No full text
Sexual problems of male patients in family practice
No full textOBJECTIVE Little is known about men's expectations of their family physicians regarding sexual disorders. Our goal was to evaluate the frequency of sexual problems among male patients in family practice and to assess their need for help. STUDY DESIGN We performed a cross-sectional survey based on structured questionnaires answered by patients and physicians in German family practices. POPULATION We approached 43 family physicians; 20 (43%) participated. On a single day all men 18 years and older visiting the participating practices were approached, and 307 (84,%) took part in the survey. OUTCOME MEASURE Patients were asked about their frequency and type of sexual problems, their need for help, and their expectations of their physicians, The physicians described their perceptions and management of sexual problems in family practice. RESULTS Nearly all patients (93%) reported at least 1 sexual problem from which they suffered seldom or more often. The most common problems were low sexual desire (73%) and premature ejaculation (66%). Occupational stress was considered causative by more than half of the men (107/201). Forty-eight percent considered it important to talk with their physicians about sexual concerns. However, most physicians initiated a discussion about sexual concerns only seldom or occasionally. There was a nonsignificant correlation between the physicians' assumed knowledge and the patients' wish to contact them in case of sexual problems (rho=0,26). CONCLUSIONS The high frequency of self-reported sexual disorders and the hesitancy of family physicians to deal with this topic signals a neglected area in primary health care. Certain conditions, such as Occupational stress, which may be associated with sexual concerns, should encourage the physician to initiate discussions about sexuality
The search for social support of involuntarily childless patients | Die suche nach sozialer unterstutzung bei ungewollter kinderlosigkeit
No full text
- …
