Changes in attitudes, practices and barriers among oncology health care professionals regarding sexual health care: Outcomes from a 2-year educational intervention at a University Hospital

2016 ◽  
Vol 21 ◽  
pp. 24-30 ◽  
Author(s):  
Jona Ingibjorg Jonsdottir ◽  
Sigridur Zoëga ◽  
Thorunn Saevarsdottir ◽  
Asgerdur Sverrisdottir ◽  
Thora Thorsdottir ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Educational Intervention ◽  
Health Care Professionals ◽  
University Hospital ◽  
Health Care Outcomes ◽  
Sexual Health Care ◽  
Care Outcomes

scholarly journals Setting Up Psychosexual Medicine Unit: Insights From a Private University-Based Medical College Hospital

2020 ◽  
Vol 2 (2) ◽  
pp. 179-185
Author(s):  
Sathish Raju Nilakantam ◽  
Shivanand Manohar ◽  
Suman S. Rao ◽  
M. Dayananda ◽  
Supriya Mathur ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Private University ◽  
Well Being ◽  
Academic Program ◽  
Sexual Disorders ◽  
Sexual Medicine ◽  
Sexual Health Care ◽  
Medical College

Introduction: Sexual health issues are highly prevalent but are underdiagnosed and underrecognized in day-to-day clinical practice. The lack of awareness of the specific health care needs of the patients with sexual dysfunctions and resource limitations might be certain reasons why many hospitals are not been equipped with the sexual health care units. There is paucity of specialized psychosexual health care services across the country. Trained interdisciplinary team with prepared environment in sexual medicine is the need of the hour. We started this psychosexual medicine unit with an emphasis on sexual wellness to deliver comprehensive sexual health care which will be a primary care linkage to patients presenting with symptoms of sexual disorders, so also treatment emergent sexual dysfunction in psychiatry and other medical and surgical branches. Aim: To portray the methods, opportunities, and challenges that we experienced in establishing a specialty psychosexual medicine facility as a different unit in a private university-based medical college and hospital in Mysuru, India. Methods: This triweekly psychosexual medicine unit is situated in the Outpatient Division of Psychiatry and is staffed with a multidisciplinary group of health care professionals. Structured survey tools and proforma are utilized to assess all patients. Case conclusions are made according to International Classification of Diseases, Tenth Revision, symptomatic/clinical explanations and diagnostic recommendations, and furthermore Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) when required. Patient care included interventions in the form of psychotherapy and pharmacotherapy. Results: It is possible to set up a functional psychosexual medicine facility as a different unit with a trained interdisciplinary group of professionals. Patient-centered approach is vital in our care plan and management. Postgraduate students and internees posted in psychiatry division have been undertaking rotations respectively as per their duty rota. There is also a robust academic program that includes once-weekly seminars pertaining to topics of psychosexual health and monthly journal club gatherings interchanging with seminars on sexual health and well-being appraisal devices. Conclusion: By investing on improving infrastructure and available human resources, the specialty psychosexual medicine unit was established. The psychosexual medicine unit not only gave chances for a more comprehensive assessment of individuals with sexual disorders but also improved training and education for residents with focused interdisciplinary research in the field of sexual medicine. It portrays a versatile model that can be replicated in settings of similar type.

scholarly journals Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes: A Systematic Review

2015 ◽  
Vol 105 (12) ◽  
pp. 2588-2588 ◽  
Author(s):  
William J. Hall ◽  
Mimi V. Chapman ◽  
Kent M. Lee ◽  
Yesenia M. Merino ◽  
Tainayah W. Thomas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Ethnic Bias ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Racial Ethnic

scholarly journals Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes: A Systematic Review

2015 ◽  
Vol 105 (12) ◽  
pp. e60-e76 ◽  
Author(s):  
William J. Hall ◽  
Mimi V. Chapman ◽  
Kent M. Lee ◽  
Yesenia M. Merino ◽  
Tainayah W. Thomas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Ethnic Bias ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Racial Ethnic

scholarly journals Let us integrate sexual health—do psychiatrists integrate sexual health in patient management?

2020 ◽  
Vol 23 (4) ◽  
pp. 527-534
Author(s):  
Tamara Seitz ◽  
Lucia Ucsnik ◽  
Andrea Kottmel ◽  
Johannes Bitzer ◽  
Bela Teleky ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Patient Management ◽  
Self Report ◽  
Patient Treatment ◽  
Daily Routine ◽  
Sexual Medicine ◽  
Health Issues ◽  
Sexual Health Care

AbstractThe high prevalence of sexual dysfunction and the importance of sexual health issues in general stress the need for a physician to integrate sexual health issues in patient management. In this study, we evaluate the frequency of psychiatrists addressing sexual health issues as well as their attitude towards sexual health. Plus, we want to evaluate the multi-professional network for patient treatment that is needed by physicians for collaboration with other medical specialists and health care professionals. At total 100 psychiatrists (age range 30–60 years), participating at the annual meeting of the Austrian Society of Psychiatry, Psychotherapy, and Psychosomatics, were invited to self-assess their caring for patients’ sexual health issues and answer a self-report questionnaire. The return rate was 74%. A third of the participating psychiatrists and psychotherapists stated to address sexual health in patients in daily routine. Twenty-five percent of the physicians suspected sexual health problems in 60–100% of their patients but did not ask the patients about this topic. Mentioned reasons why patients would not actively address sexual problems were rated by the survey participants “a different problem was more important”, “lack of time”, and “embarrassment”. Only few of the participating psychiatrists stated to offer a consultation in sexual health to the patients, none to offer sexual therapy. A mentioned reason was “lack of competence regarding sexual health”. Twelve percent referred the patients with sexual issues to a physician with another medical specialization, especially to experts in gynaecology and obstetrics, to experts in urology, or to andrologists. However, a need for a network in the field of sexual medicine was stated and an unawareness of a sexual health care network: where to refer the patients in need. Our data showed an increased need in the routine treatment and management of sexual health care in psychiatrists and psychotherapists. Plus, the data stresses the need for professional sexual medicine qualification and for extended cooperation between different medical fields and health care professionals in order to integrate sexual health topics professionally in daily routine.

scholarly journals Incidence, Prevalence, and Health Care Outcomes in Idiopathic Intracranial Hypertension

Neurology ◽  
2021 ◽  
Vol 96 (8) ◽  
pp. e1251-e1261
Author(s):  
Latif Miah ◽  
Huw Strafford ◽  
Beata Fonferko-Shadrach ◽  
Joe Hollinghurst ◽  
Inder M.S. Sawhney ◽  
...  
Keyword(s):  
Health Care ◽  
Intracranial Hypertension ◽  
Health Care Professionals ◽  
Idiopathic Intracranial Hypertension ◽  
Rate Ratio ◽  
Hospital Admissions ◽  
Csf Shunts ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Incidence Prevalence

ObjectiveTo characterize trends in incidence, prevalence, and health care outcomes in the idiopathic intracranial hypertension (IIH) population in Wales using routinely collected health care data.MethodsWe used and validated primary and secondary care IIH diagnosis codes within the Secure Anonymised Information Linkage databank to ascertain IIH cases and controls in a retrospective cohort study between 2003 and 2017. We recorded body mass index (BMI), deprivation quintile, CSF diversion surgery, and unscheduled hospital admissions in case and control cohorts.ResultsWe analyzed 35 million patient-years of data. There were 1,765 cases of IIH in 2017 (85% female). The prevalence and incidence of IIH in 2017 was 76/100,000 and 7.8/100,000/y, a significant increase from 2003 (corresponding figures = 12/100,000 and 2.3/100,000/y) (p < 0.001). IIH prevalence is associated with increasing BMI and increasing deprivation. The odds ratio for developing IIH in the least deprived quintile compared to the most deprived quintile, adjusted for sex and BMI, was 0.65 (95% confidence interval 0.55 to 0.76). Nine percent of IIH cases had CSF shunts with less than 0.2% having bariatric surgery. Unscheduled hospital admissions were higher in the IIH cohort compared to controls (rate ratio 5.28, p < 0.001) and in individuals with IIH and CSF shunts compared to those without shunts (rate ratio 2.02, p < 0.01).ConclusionsIIH incidence and prevalence is increasing considerably, corresponding to population increases in BMI, and is associated with increased deprivation. This has important implications for health care professionals and policy makers given the comorbidities, complications, and increased health care utilization associated with IIH.

The sexual health care needs after colorectal cancer: the view of patients, partners, and health care professionals

2013 ◽  
Vol 22 (3) ◽  
pp. 763-772 ◽  
Author(s):  
Marjan J. Traa ◽  
Jolanda De Vries ◽  
Jan A. Roukema ◽  
Harm J. T. Rutten ◽  
Brenda L. Den Oudsten
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Health Care Needs ◽  
Care Needs ◽  
Sexual Health Care

scholarly journals Perceptions of Sexual Healthcare Provision in Tanzania: a Key Informant Qualitative Study

2021 ◽  
Author(s):  
Lucy R. Mgopa ◽  
Michael W. Ross ◽  
Gift Gadiel Lukumay ◽  
Stella Emmanuel Mushy ◽  
Ever Mkony ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Gender Equity ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Treatment Guidelines ◽  
Clinical Care ◽  
Clinical Practices ◽  
Sexual Health Care ◽  
Care Services

Abstract Introduction Sexual health care services must be standard and unbiased, guided by a structured health care system. There is a scarcity of data on how sexual health care is delivered in Tanzania. Methods To address this gap, in July 2019 we interviewed eleven key informants: cultural and public health experts, and political, religious, and community leaders, selected from different organizations in Dar es Salaam, Tanzania. Participants were asked for their opinions about clinical practices of health care professionals when providing care to patients, with an emphasis on sexual health. Results Participants’ responses were classified into three subcategories: strengths, barriers, and gaps in sexual health care. Availability of services, service delivery to adults, and code of conduct were among the strengths observed in clinical care services. Barriers included the health care provider’s attitudes, moral values, and inadequacy in health policies and treatment guidelines. Vulnerable populations including youth were frequently reported to face most challenges when seeking sexual health care services. In terms of gaps, informants emphasized gender equity in sexual health services provision within care settings. Conclusion and Implication Data indicate that lack of training in sexual health and guidelines for dealing with sexual issues are a barrier to comprehensive health care. These findings can inform the main areas for curriculum developers to focus on, when developing an Afro-centric sexual health curriculum suitable for students in health care professional courses. Moreover, these findings can be useful when developing treatment guidelines and policies that are beneficial to the sexual health wellbeing of individuals.

scholarly journals Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania: a qualitative study of health professionals’ experiences and health students’ perspectives

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lucy R. Mgopa ◽  
B. R. Simon Rosser ◽  
Michael W. Ross ◽  
Gift Gadiel Lukumay ◽  
Inari Mohammed ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Clinical Management ◽  
Sub Saharan Africa ◽  
Primary Concern ◽  
Care Providers ◽  
Sexual Health Care ◽  
Sex With Men

Abstract Background Health care providers across sub-Saharan Africa continue to face challenges while delivering sexual health care services. We explored the experiences, views and challenges of health care professionals and health students across different disciplines in Tanzania, towards delivery of sexual health services to men who have sex with men. Methods Utilizing a qualitative approach, we recruited 121 health care professionals (providers) and students from the fields of midwifery, nursing and medicine in Dar es Salaam, Tanzania. We conducted 18 focus groups discussions, stratified by profession and experience, to investigate clinical management and challenges while addressing a case of an adult male presenting with rectal gonorrhea. Results Findings indicated this case as extremely sensitive, clinical management involved establishing rapport and consent, medical care from history taking to treatment, and referral to other specialties. However, the illegal status of homosexuality in Tanzania was a primary concern to participants, this triggered the clinical care of this case scenario as challenging. There were uncertainties whether or not that such a case should be reported to the authorities. Conclusion Findings from this study revealed a need for training health students in Tanzania to address sexual health issues including accurate information on homosexuality, reporting requirements and clinical management in the legal and socio-cultural context of the African continent.

Sign in / Sign up

Export Citation Format

Share Document