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首页> 外文期刊>The journal of sexual medicine >A conceptual framework for the evolution of sexual medicine and a model for the development of alternative sexual health services: 10-year experience of the center for sexual and reproductive health.
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A conceptual framework for the evolution of sexual medicine and a model for the development of alternative sexual health services: 10-year experience of the center for sexual and reproductive health.

机译：性医学发展的概念框架和替代性健康服务发展的模型：性健康和生殖健康中心十年的经验。

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INTRODUCTION: Sexual health services are limited and inadequate to reduce factors that hinder treatment and adequate care, despite the growing interest for public awareness and prevention strategies. AIM: The aim of this study was to present an integrative conceptual framework, which led to the development of a model of alternative sexual health services and the 10-year experience of the practice of the service. MAIN OUTCOME MEASURES: Multiple-level needs assessments. METHODS: The conceptual framework is composed of four distinct elements: (i) it adopts a social/ecological perspective; (ii) it assumes that results are optimal when multiple interventions are used; (iii) interventions are influenced by behavioral theories; and (iv) sexual health is conceptualized through the biopsychosocial model. Based on this model, a Sexual and Reproductive Health Center was developed, dedicated to research, education, and public awareness. RESULTS: Over 10 years of experience show that the present approach constitutes a process which: (i) facilitates our understanding of the needs at individual, community, and system level; and (ii) increases the individuals', community and systems' capacity to control sexual health. CONCLUSION: Alternative models for sexual and reproductive health services should be encouraged, in order for best practices to be explored and identified. In addition, future research in the effectiveness of such interventions shall be beneficial in order for evidence-based interventions to be designed.
机译：简介：尽管公众对预防意识和预防策略的兴趣日益浓厚，但性保健服务有限且不足以减少阻碍治疗和适当护理的因素。目的：本研究的目的是提出一个综合的概念框架，从而促成替代性健康服务模式的发展以及该服务实践的十年经验。主要观察指标：多层次需求评估。方法：概念框架由四个不同的元素组成：（i）它采用社会/生态观点; （ii）假设使用多种干预措施时结果是最佳的; （iii）干预受到行为理论的影响; （iv）通过生物心理社会模型将性健康概念化。基于该模型，建立了一个性与生殖健康中心，致力于研究，教育和公众意识。结果：超过10年的经验表明，当前的方法构成了一个过程，该过程：（i）促进我们对个人，社区和系统级别的需求的理解; （ii）提高个人，社区和系统控制性健康的能力。结论：应鼓励选择性健康和生殖健康服务的替代模式，以便探索和确定最佳做法。另外，为了设计基于证据的干预措施，将来对此类干预措施有效性的研究将是有益的。

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