Do doctors specialising for training in health ressorts integrate sexual health problems in daily patient-managment _ self-assessment results at the annual training-course for doctors in health ressorts_Bad Gastein, March 2017
Ucsnik, L1; Kottmel, A2; Körbel, TH3; Bitzer, J4; Teleky, B5; Marktl, W6
1: Medical University Vienna, Austria; 2: Practice for Gynecology and Sexual Medicine/ Austria; 3: Medical Unviersity Vienna, Austria; 4: Private Practise, Swisse; 5: Medical University Vienna, Univ.Clin f. Surgery, Austria; 6: President of GAMED, Austrian Association for general and holistic medicine, Austria
Introduction: In Austria, cures, treatment at health resort, are an important part of regeneration after a period of sickness and after surgery procedures in order to regenerate and recover. They usually last 3 weeks and are at places with efficacious, natural remedies supporting the holistic recovery of patients. Patients usually follow plans made by specifically trained doctors. Sexual health is an essential aspect in this phase of recovery. Thus we analyzed whether sexual health issues are part of daily routine of these doctors’ treatment and concepts.
Method: At the beginning of the special training for doctors working in health resorts the participants (n=45) were invited to self-assess via standardized questionnaire their daily routine of medical patient-management in Bad Gastein, March 2017.
Results: 30 out of 45 doctors participated in the survey (return rate 66,6%), 67% women, 30% with specialization in family medicine, 33% less than 2 years of clinical experience in health resorts. 27% didn’t ask the patients about sexual health issues, 60% up to 20% of the patients. 60% of the doctors stated they were asked by up to 20% of the patients about sexual dysfunction, 30% were not addressed at all. 37% of the doctors had concerns in up to 20% of the patients to have sexual problems, 27% in up to 41-60% of the patients. Other issues more important (73), lack of time (50%), religion and culture (27% each) were considered the reasons why the patients did not address sexual issues. Only 23% of the doctors stated that rehabilitation is an occasion to address the topic actively. In cases of sexual dysfunction the doctor referred the patients to: urologists (63%), gynecologist (53%), andrologists (39%), psychotherapists (33%), sexual medicine and psychosomatic specialists (27% each). The support additionally offered by 33% of these doctors was evaluation of patients’ medication’s side-effects on sexual function.
Conclusion: In 80% of patients sexual health is not integrated and part of health plans by the doctors in Austrian health resorts. 80% of the patients don’t address the topic in medical consultation. Only 33% of the doctors evaluated patients’ medication contributing to sexual health issues. Yet there’s little awareness of the role of sexual health in the recovery-process in health resorts in Austria. Specific training in sexual medicine is urgent in this field. Further scientific investigations is needed to increase these health management programme’s success.
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