Physician Attitudes Toward Urinary Incontinence Identification
Physician Attitudes Toward Urinary Incontinence Identification
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DOI：
10.1097/spv.0000000000000165
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发表时间：
2015-09-01
影响因子：
1.6
通讯作者：
Botros, Sylvia
中科院分区：
文献类型：
--
作者：
Jirschele, Kelly;Ross, Ruth;Botros, Sylvia
尿失禁（UI）是一种常见的疾病。尿失禁影响健康、生活质量和经济资源。大多数障碍研究都是从患者的角度来评估的。需要从医生的角度进行研究，以确定如何最好地解决UI障碍。目的探讨医生在尿失禁诊断和治疗中的障碍。方法经机构审查委员会批准，我们调查了北岸大学卫生系统的78名初级保健医生。该调查旨在评估医生的舒适度、对UI的熟悉程度和当前的实践模式。结果78名医生中有55名（71%）完成了调查。大多数人表示他们清楚地理解UI，并且UI是他们实践中常见的问题。56%的医生对询问尿失禁感到很自在。只有19%的医生对诊断尿失禁感到非常舒服，11%的医生对治疗尿失禁感到非常舒服。59%的医生认为区分不同类型的UI是困难的，69%的医生认为管理UI是困难的。然而，只有26%的医生认为管理尿失禁需要花费太多时间。总体而言，65%的医生希望在他们的实践中更多地诊断和治疗尿失禁。列出的最常见的障碍是(1)“不熟悉可用于治疗的算法”，(2)“没有好的筛查工具”，(3)“对诊断和治疗不舒服”。我们最初认为时间将是护理尿失禁的最大障碍，但我们发现诊断和治疗的不适是障碍。最常见的障碍是缺乏可访问的算法。重视医师教育，实施治疗UI的筛选工具算法，可以提高UI的识别。
Urinary incontinence (UI) is a prevalent condition. Urinary incontinence impacts health, quality of life, and financial resources. Most barriers research is evaluated from the patient perspective. Research from physician perspective is needed to determine how best to address UI barriers.ObjectiveThis study aimed to elucidate physician barriers to UI identification and treatment.MethodsAfter institutional review board waiver, we surveyed 78 NorthShore University HealthSystem primary care physicians. The survey was designed to assess physician comfort, familiarity with UI, and current practice patterns.ResultsFifty-five (71%) of the 78 physicians completed the survey. Most indicated that they clearly understood UI and that UI was a common problem in their practice. Fifty-six percent of the physicians were very comfortable inquiring about UI. Only 19% of the physicians were very comfortable diagnosing UI and 11% of the physicians were very comfortable treating UI. Fifty-nine percent of the physicians agreed that differentiating the different types of UI is difficult and 69% of the physicians believed that managing UI is difficult. However, only 26% of the physicians agreed that managing UI takes too much time. Overall, 65% of the physicians would like to diagnose and treat UI more in their practices. The most common barriers listed were (1) "not familiar with algorithm available for treatment," (2) "no good screening tool," and (3) "uncomfortable with diagnosis and treatment."ConclusionsWe initially thought that time would be the biggest barrier to care for UI, but we identified discomfort with diagnosis and treatment as barriers. The most common barrier was the lack of an accessible algorithm. Attention to physician education implementation of a screening tool algorithm for treatment of UI could improve UI identification.