| Titre : | STD care : variations in clinical care associated with provider sex, patient sex, patients'self-reported symptoms or high-risk behaviors, partner STD history. (2004) |
| Auteurs : | Janet-Sst LAWRENCE ; Matthew HOGBEN ; Danuta KASPRZYK ; Wen-Hung KUO ; Daniel-E MONTANO ; PHILLIPS (William-R) : USA. University of Washington. ; Battelle Centers for Public Health Research and Evaluation. USA ; Centers for Disease Control and Prevention. (C.D.C.). Division of Std Prevention. Behavioral Interventions and Research Branch. Atlanta. GA. USA |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 59, n° 5, 2004) |
| Pagination : | 1011-1018 |
| Langues: | Anglais |
| Mots-clés : | Maladie sexuellement transmissible ; Diagnostic ; Sexualité ; Décision médicale ; Médecin ; Attitude ; Homme ; Secteur privé ; Comportement ; Recherche ; Profession santé ; Etats Unis ; Amérique ; Infection ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS yexJR0x0. Diffusion soumise à autorisation]. Sexually transmitted diseases in the United States are frequently diagnosed by private, as well as public, physicians. However, we know little about the decision processes that physicians employ when faced with people who may or may not be infected. To address this gap, we compared physicians'responses to different patient vignettes to assess how variations in patients'presentations affect physicians'clinical behavior. We systematically varied reported symptoms, behavioral risk, partner STD, and sex of patients in 16 different vignettes, with one vignette randomly presented to each physician in a national survey. Physicians rated the likelihood of 12 clinical management actions they might take with the patient vignette presented. Responses varied with self-reported symptoms, high-risk behavior, and report of an STD infected partner such that female physicians were more attentive to sexual health, and all physicians were more likely to treat female patients aggressively, relative to their male patients. Overall behavior was broadly congruent with sound medical practice, although we discuss several caveats to this general statement. |
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