Unannounced simulated patients' observations of physician STD/HIV prevention practices.
Unannounced simulated patients' observations of physician STD/HIV prevention practices.
复制标题
未经通知的模拟患者对医生 STD/HIV 预防实践的观察。
DOI：
10.1016/s0749-3797(18)30811-0
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发表时间：
1992
影响因子：
5.5
通讯作者：
D. Rabin
中科院分区：
文献类型：
--
作者：
N. K. Russell;B. Boekeloo;I. Z. Rafi;D. Rabin
描述性传播疾病（STD）和人类免疫缺陷病毒（HIV）预防实践的初级保健医生的研究依赖于医生或患者的报告。本研究描述了医生性病/艾滋病预防的做法，观察未经宣布的模拟病人评估（SPE）。SPE访问了65名初级保健医生。每个SPE描绘了一个新来的性活跃女性，要求进行性病预防咨询。研究中有三分之一的医生没有问任何风险问题，超过80%的医生没有特别询问SPE关于她的性行为。大多数医生讨论了性传播疾病和艾滋病毒的风险，并提出了基本建议（使用避孕套和更好地了解伴侣）;然而，很少有医生提供关于安全性行为和避孕套使用细节的任何个性化信息或建议，例如如何使用或使用哪种避孕套。这些观察结果支持了医生自我报告中指出的性病/艾滋病毒预防率低的事实，并进一步确定了他们在风险评估和预防咨询实践方面的具体缺陷。
Studies describing sexually transmitted disease (STD) and human immunodeficiency virus (HIV) prevention practices of primary care physicians have relied on physician or patient reports. This study describes physician STD/HIV prevention practices as observed by unannounced simulated patient evaluators (SPEs). SPEs visited sixty-five primary care physicians. Each SPE portrayed a sexually active female, new to the area, requesting a consultation on STD prevention. One-third of the physicians in the study asked no risk questions, and over 80% failed to ask the SPE specifically about her sexual practices. Most physicians discussed the risks of STDs and HIV and covered basic recommendations (use condoms and know partners better); however, few physicians provided any individualized information or advice about safer sexual practices and the specifics of condom use, such as how to use them or what kind to use. These observations support the low rates of STD/HIV prevention indicated in physicians’ self-report and further identify specific deficiencies in the thoroughness of their risk assessment and preventive counseling practices.