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首页> 外文期刊>BMC Family Practice >Does patient’s sex influence treatment in primary care? Experiences and expressed knowledge among physicians – a qualitative study
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Does patient’s sex influence treatment in primary care? Experiences and expressed knowledge among physicians – a qualitative study

机译：患者的性别会影响基层医疗的治疗吗？医生的经验和表达的知识-定性研究

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Background Biological and sociocultural differences between men and women may play an important role in medical treatment. Little is known about the awareness of these differences among general practitioners (GPs) and if they consider such differences in their medical practice. The aim of this study was to explore GPs’ perception of sex and gender aspects in medical treatment. Methods We conducted five focus group discussions (FGDs) with 29 physicians (mainly GPs) in Sweden. A discussion guide with semi-structured questions was used. All FGDs were audio-recorded and transcribed word-by-word. Data were analysed through inductive thematic analysis with no predetermined categories. Results Three main categories emerged from the data. The first category emphasised GPs’ experiences of sex and gender differences in diagnosing and assessment of clinical findings. Medical treatment in men and women was central in the second category. The third category emphasised GPs’ knowledge of sex differences in drug therapy. Conclusions The GPs stated they had little knowledge of sex and gender differences in drug treatment, but gave multiple examples of how the patient’s sex affects the choice of treatment. Sex and gender aspects were considered in diagnosing and in the treatment decision. However, once the decision to treat was made the choice of drug followed recommendations by local Drug and Therapeutics Committee, which were perceived to be evidence-based. In the analysis we found a gap between perceived and expressed knowledge of sex and gender differences in drug treatment indicating a need of education about this to be included in the curriculum in medical school and in basic and specialist training for physicians. Education could also be a tool to avoid stereotypical thinking about male and female patients.
机译：背景男女之间的生物学和社会文化差异可能在医学治疗中发挥重要作用。对于全科医生（GPs）对这些差异的认识以及他们是否考虑其医疗实践方面的了解很少。这项研究的目的是探讨全科医生对医疗方面性别和性别方面的看法。方法我们与瑞典的29位医师（主要是GP）进行了五次焦点小组讨论（FGD）。使用了具有半结构化问题的讨论指南。所有烟气脱硫剂均被录音并逐字转录。通过归纳主题分析对数据进行分析，没有预先确定的类别。结果从数据中得出了三个主要类别。第一类强调全科医生在诊断和评估临床结果时的性别和性别差异经验。在第二类中，男性和女性的医疗服务至关重要。第三类强调全科医生对药物治疗中性别差异的了解。结论全科医生表示，他们对药物治疗的性别和性别差异知之甚少，但列举了多个实例说明患者的性别如何影响治疗选择。在诊断和治疗决策中考虑了性别和性别方面。但是，一旦做出治疗决定，则应根据当地药物和治疗委员会的建议选择药物，这些建议被认为是循证的。在分析中，我们发现在认知和表达的性别知识以及药物治疗中的性别差异之间存在差距，这表明需要对此进行教育，以便将其纳入医学院的课程以及对医生的基础和专业培训中。教育也可以成为避免对男性和女性患者定型思考的工具。

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