Готові списки джерел за темами / Physician and patient Sexual behavior

Добірка наукової літератури з теми "Physician and patient Sexual behavior"

Автор: Grafiati
Опубліковано: 10 грудня 2022
Оновлено: 29 січня 2023

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Статті в журналах з теми "Physician and patient Sexual behavior"

1

Hersh, Eitan D., and Matthew N. Goldenberg. "Democratic and Republican physicians provide different care on politicized health issues." Proceedings of the National Academy of Sciences 113, no. 42 (October 3, 2016): 11811–16. http://dx.doi.org/10.1073/pnas.1606609113.

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Physicians frequently interact with patients about politically salient health issues, such as drug use, firearm safety, and sexual behavior. We investigate whether physicians’ own political views affect their treatment decisions on these issues. We linked the records of over 20,000 primary care physicians in 29 US states to a voter registration database, obtaining the physicians’ political party affiliations. We then surveyed a sample of Democratic and Republican primary care physicians. Respondents evaluated nine patient vignettes, three of which addressed especially politicized health issues (marijuana, abortion, and firearm storage). Physicians rated the seriousness of the issue presented in each vignette and their likelihood of engaging in specific management options. On the politicized health issues—and only on such issues—Democratic and Republican physicians differed substantially in their expressed concern and their recommended treatment plan. We control for physician demographics (like age, gender, and religiosity), patient population, and geography. Physician partisan bias can lead to unwarranted variation in patient care. Awareness of how a physician’s political attitudes might affect patient care is important to physicians and patients alike.
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Hyams, Andrew L. "Expert Psychiatric Evidence in Sexual Misconduct Cases Before State Medical Boards." American Journal of Law & Medicine 18, no. 3 (1992): 171–201. http://dx.doi.org/10.1017/s0098858800007085.

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The growing problem of physician sexual misconduct has captured the attention not only of the medical and legal communities, but of the public as well. State medical boards, administrative agencies with generous rules of evidence and varying levels of expertise, face the difficult task of responding to patients’ allegations of physician sexual abuse. This Article, based in large part on the author's survey of current state medical board practice, reveals an increasing reliance on expert psychiatric testimony to explain the behavior of complainants and accused physicians. Drawing analogies from the use of psychiatric evidence in child sexual abuse cases, the author examines the factors that boards must consider in determining the admissibility of expert testimony in physician sexual misconduct cases, and calls upon states to establish clear evidentiary rules to govern the use of such testimony in administrative hearings.
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3

Carnes, Patrick J. "Sexual Addiction and Compulsion: Recognition, Treatment, and Recovery." CNS Spectrums 5, no. 10 (October 2000): 63–74. http://dx.doi.org/10.1017/s1092852900007689.

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AbstractThe management of patients with compulsive sexual behavior requires an understanding of the profile of the sexually compulsive or addicted patient. This article summarizes patient characteristics and their implications for treatment. Data from a study of the recovery of 957 patients who had problematic, sexually excessive behavior are presented. Spanning 5 years, the study shows six distinct stages patients experienced and the clinical activities that were most useful to them. A trajectory of a typical diagnosis and treatment path is provided, as well as important resources for physicians and patients.
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4

Waheed, Rizwana. "OBSCENE BEHAVIOR: A REAL CHALLENGE FOR THERAPEUTIC RELATIONSHIP." Pakistan Journal of Rehabilitation 11, no. 2 (July 7, 2022): 159–66. http://dx.doi.org/10.36283/pjr.zu.11.2/022.

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Background and Aims: Number of studies in healthcare context has described the rehabilitators as harassment perpetrator and patient as the victim, in particular therapists. Therefore, these issues must examine the dynamics of patient-therapists’ relationships to understand the factors related to the inappropriate sexual behavior. Methodology: A cross-sectional survey was conducted on physical and occupational therapists, recruited via convenience sampling technique. The data was collected through Inappropriate Patient Sexual Behavior questionnaire, sent to participants via email or WhatsApp groups. Results: A total number of 106 participants including 12.3% males and 87.7% females with 71.7% physical and 28.3% occupational therapist. The finding revealed that 82.1% therapists never had training in the context of understanding the inappropriate patient sexual behavior. Whereas 28.3% revealed that a patient has stared the body that made them uncomfortable, 9.5% reported to have sexual flattering remarks, 4.7% had purposeful touched in a sexual manner. Unfortunately, only 37.7%has expressed their disgust and raised voice to report the issues. Conclusion: It was concluded that relatively very low percentage of IPSB is present and reported cases are usually recorded as disgust feeling or raised voice. Thus for healthy therapeutic relationship, training for handling obscene behavior must be conducted and the curriculum should promote knowledge of this aspect.
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5

Ramisetty-Mikler, Suhasini, and LeAnn Boyce. "Communicating the risk of contracting Zika virus to low income underserved pregnant Latinas: A clinic-based study." PLOS ONE 15, no. 11 (November 20, 2020): e0241675. http://dx.doi.org/10.1371/journal.pone.0241675.

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Objective Frequent travel between the Southern border states in the USA, Mexico, and Latin American countries increases the risk of the Zika virus (ZIKV) spread. Patient education on virus transmission is fundamental in decreasing the number of imported cases, particularly among pregnant women. Methods The study used cross-sectional methodology to investigate information sources and knowledge concerning the ZIKV virus among 300 under-served pregnant Latinas recruited from prenatal care clinics in the North Texas region. Bivariate and multiple logistic regression models were used to investigate associations between the primary outcomes and patient characteristics. Results Physicians, nurses, and families are the major sources for pregnancy information, while media/internet (65%) and physician/nurse (33%) are the main sources for ZIKV information. Less than one-half of the mothers reported that their physician/nurse did not discuss safe sexual practices or inquired about their sexual practices. A considerable proportion of women from the community clinic were neither warned nor queried about travel to ZIKV risk countries. There is an overall understanding of Zika virus transmission, symptoms, complications, and recommended guidelines. Younger age and single mother status are risk factors for lack of ZIKV knowledge. Foreign-born mothers are 2.5–3.0 times more likely to have knowledge on disease transmission, symptoms, and microcephaly condition. While, younger mothers (18–24) are less likely to have knowledge of ZIKV infection symptoms (fever, rash and pink eye) and transmission of infection via unprotected sexual (vaginal, anal, or oral) behavior, compared to older mothers. Conclusions Interventions are needed to heighten the knowledge of ZIKV, particularly among women of reproductive age and their male partners in the community health care setting. Our study underscores the need for health care providers to be trained in delivering messages to enhance risk perception during health emergencies to vulnerable and underserved families (lower economic background, language ability, and culture). During health emergencies, clinics must disseminate crucial information via multi modalities to ensure messages reach the targeted patients.
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6

Komlenac, Nikola, and Margarethe Hochleitner. "Predictors for Low Frequencies of Patient-Physician Conversations Concerning Sexual Health at an Austrian University Hospital." Sexual Medicine 8, no. 1 (March 2020): 100–106. http://dx.doi.org/10.1016/j.esxm.2019.09.006.

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7

Searight, H. Russell, and Patricia Pound. "The HIV-Positive Psychiatric Patient and the Duty to Protect: Ethical and Legal Issues." International Journal of Psychiatry in Medicine 24, no. 3 (September 1994): 259–70. http://dx.doi.org/10.2190/ueyt-9523-1a0m-jwng.

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A small, yet significant, percentage of HIV-positive patients have a concomitant psychiatric or neurological disorder associated with impaired judgment. Clinical problems such as psychoses, certain personality disorders, and dementias are associated with disinhibition of impulses and diminished capacity for self-monitoring. These deficits in reasoning and judgment may prevent the patient from comprehending the significance of their HIV status and the consequences of sexual behavior or needle sharing. There are indications that the Tarasoff duty-to-protect may apply to this situation. Method: Available data about the prevalence of HIV risk behavior and HIV infection among psychiatric patients are reviewed. The applicability to these situations is described. Results: When an HIV patient engages in high risk sexual behavior with identifiable partners and refuses to notify them of their HIV status, physicians and mental health professionals may have a legal and ethical duty to warn. Conclusion: A decision model for this clinical dilemma is presented. Clinical strategies for these patients may include ongoing supervision and monitoring as well as possible quarantine.
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8

Hock, Lauren E., Brittni A. Scruggs, Patrick B. Barlow, Thomas A. Oetting, Michael D. Abràmoff, and Erin M. Shriver. "Responding to Patient-Initiated Verbal Sexual Harassment: Outcomes of a Pilot Training for Ophthalmologists." Journal of Academic Ophthalmology 12, no. 02 (July 2020): e175-e180. http://dx.doi.org/10.1055/s-0040-1717062.

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Abstract Background Sexual harassment of physicians by patients is highly prevalent and rarely reported. Little is known on how to prepare physicians to handle verbal sexual harassment that detracts from their ability to provide care but does not meet the threshold for reporting. Purpose To assess the impact of a sexual harassment workshop and toolkit for ophthalmologists and ophthalmology trainees on responding to patient-initiated verbal sexual harassment. Methods A survey study of ophthalmology faculty, fellows, and residents who participated in workshops on responding to patient-initiated verbal sexual harassment was performed at an academic center. A toolkit of strategies for response was distributed. Volunteer participants completed a retrospective pretest–posttest evaluation at the conclusion of the workshop and follow-up survey 3 weeks after the workshops on whether they experienced harassment and intervened. The pretest–posttest surveys assessed the workshop's effect on ophthalmologists' perceptions of and preparedness to respond to sexual harassment in the moment using a 5-point Likert scale, including bystander intervention. Participants described their responses observing and/or experiencing patient-initiated sexual harassment in the 3 weeks following the workshop and whether they had intervened toward the harassment. Results Ophthalmologists (n = 31) felt significantly more prepared to respond to patient-initiated sexual harassment directed toward themselves or a trainee in the moment after participating in the workshop (4.5 ± 1.63) than before (3.0 ± 1.3) with a mean change of 1.6 (95% confidence interval: 0.98–2.2, p < 0.001). After the workshop, 86.3% of participants felt mostly or completely prepared to respond to comments about their age, gender, marital status, appearance, attractiveness, a specific body part, and sexual or inappropriate jokes. Most participants (83.9%) said that they had not previously received training on techniques for responding to patient-initiated sexual harassment. Two-thirds (66.7%) of participants who experienced (n = 8) or observed (n = 13) harassment (n = 15) following the workshop intervened. All participants who intervened toward patient-initiated harassment behavior after the workshop (n = 10) found the Sexual Harassment Toolkit helpful in addressing harassment in the moment. Conclusion Participation in a brief skills-based workshop significantly improved ophthalmologists' preparedness to respond to verbal sexual harassment by patients.
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Kim, Dohee, Kyoung Min Kim, and Myung Ho Lim. "A Case of Paraphilia with Osteoporosis and Administered with Depot Leuprorelin." Medicina 55, no. 10 (October 20, 2019): 705. http://dx.doi.org/10.3390/medicina55100705.

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Paraphilia is a complex psychological and psychiatric disorder that has been difficult to treat. Leuprorelin has been used as one of the therapeutic methods for paraphilia. Leuprorelin administration could change insulin resistance and accelerate bone loss. The case study in this work was a 59-year-old man who visited a hospital with the chief complaints of frotteuristic behaviors in public places, a continuous increase in sexual desire, and sexual molestation behavior that started in 2007. We injected leuprorelin (3.6 mg) intramuscularly every month for this patient with paraphilia and comorbidities of osteoporosis and hyperthyroidism. The clinical global impression (CGI), Sex Addiction Screening Test (SAST), Wilson Sex Fantasy Questionnaire (WSFQ), physical examination, and laboratory tests were performed. After 12 months of leuprorelin injection for paraphilia, we found a significant improvement in abnormal sexual behavior/desire without aggravation of osteoporosis/hyperthyroidism. Gonadotrophin-Releasing Hormone (GnRH) analogs could be used as alternative or supplementary treatment methods for paraphilia with osteoporosis/hyperthyroidism.
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Zhang, Ruixuan J., Madeline Bach, Julia Yip, and Athena Lin. "Cross-Sectional Study on Perceptions Regarding Cervical Cancer Screening and Human Papillomavirus Vaccination Among Female Patients in Rural Taiwan." Journal of Global Oncology 5, Supplement_1 (October 2019): 14. http://dx.doi.org/10.1200/jgo.19.23000.

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PURPOSE Cervical cancer remains the eighth leading cause of cancer mortality among women in Taiwan. Despite availability of a National Health Insurance program with free yearly screenings, Papanicolaou testing and human papillomavirus (HPV) vaccination rates have been historically low in Taiwan. Even in the United States, cervical cancer screening rates for Asian women are significantly lower than other ethnic groups. The goal is to direct future interventions by providing insight on barriers leading to low screening and vaccination rates among Taiwanese and Asian women. METHODS Anonymous surveys without patient identifiers were randomly administered to patients at a traditional Chinese medicine clinic in Hualien City in June 2018. Inclusion criterion was females. No exclusion criteria were defined. Participants provided written consent. Sixty-three completed surveys were received. A χ2 test was used to determine statistical significance (α = 0.05). RESULTS Formal education level correlated with increased knowledge of HPV ( P = .001), its route of transmission ( P = .044), its link to genital cancer ( P = .0024), and HPV vaccination ( P = .0039). Women were more likely to have Papanicolaou smears if they were older than 30 years of age ( P = .0033), visited the gynecologist ( P < .001), or were recommended one by their physicians ( P < .001). Although 57% of respondents knew of the HPV vaccine, only 19% were vaccinated. Among those not vaccinated, most cited reasons included an inability to find a physician providing it (23.5%), safety concerns (16.4%), belief that it encourages sexual behavior (14.5%), and high out-of-pocket expense (9.1%). CONCLUSION Knowledge of HPV does not predict a higher adherence to cervical screening guidelines. Instead, diligent physician recommendations on Papanicolaou smears can elevate adherence rates among patients. Significant contributors to low HPV vaccination rates in rural Taiwan include lack of awareness and access to the vaccine. Our study emphasizes the physician-patient relationship as a means to target vulnerable populations and increase rates of cervical cancer screening and HPV vaccination.
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Дисертації з теми "Physician and patient Sexual behavior"

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Mostade, S. Jeffrey. "Components of internalized homophobia, self-disclosure of sexual orientation to physician, and durable power of attorney for health care completion in older gay men." Connect to this title online, 2004. http://www.ohiolink.edu/etd/view.cgi?acc%5Fnum=kent1100874865.

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Werner, Dana Marie. "The Predictors of Physician-Patient Discussions of Sexual Health with Older Adults." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/246.

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The number of adults aged 65 years and over has been rising quickly, as has the rate of new onset sexually transmitted diseases within this population. Discussions of sexual health between physicians and older adults are currently lacking in frequency and effectiveness. Using the foundation of stereotype embodiment theory, the purpose of this study was to identify the factors that predict frequency of discussing sexual health with older adult patients. A comparative sample of geriatric physicians and family practitioners completed 2 researcher-developed questions and the Sexual Health Care Scale-Attitude tool that assessed their stereotype beliefs toward discussing sexual health with older adults using the 4 subscales--personal, patient, environmental, and colleague--and the frequency with which they discussed sexual health with their older adult patients. It was hypothesized that non-ageist attitudes would increase the frequency of discussions, and increase the personal factors, such as comfort level, of having such discussions. Multiple regression analysis and the chi-square test were used in data analysis. Frequency of sexual health discussions with older adult patients was dependent upon the physician type, age and gender, and how well the physician believed he or she had been educated to discuss sexual health with older adults. Comparatively, the geriatric physicians had more frequent discussions of sexual health with older adults than the family practitioners. The implications for social change include identifying the need for more specialized physician training in discussing sexual health with older adults to improve overall physical and emotional well-being of older adults and the study's recommendations for future research.
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3

Gillmore, Elizabeth Hardy Sprowls. "Improving patient satisfaction by training emergency department physicians to respond to patient behavior." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06062008-171308/.

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4

Colton, Jana. "Sex and the Elderly: What Physicians Should Know About Their Older Patients." Yale University, 2008. http://ymtdl.med.yale.edu/theses/available/etd-08072007-102501/.

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This study is intended to explore how physicians can best help their older patients attain a better quality of life through sexual healthcare by eliciting older patients perceptions and experiences regarding their sexual health needs and what role their physician should play in meeting those needs. Participants consisted of individuals and couples over the age of 65 recruited from a continuing care retirement community and from a VA Geriatric Clinic. Twenty in-depth, one-on-one interviews were conducted, and transcripts were analyzed using qualitative methodology. Analysis of transcripts revealed a broad range of findings including seniors perceptions of: the definitions of sexual activity and sexual health, their own sexual status, their own sexual health needs, the barriers to meeting their sexual health needs, and the ageist beliefs of others and themselves. This study exposed older patients self-perceived sexual health needs and the barriers to having those needs met; this knowledge should help physicians improve the quality of life for their senior patients through improved sexual health care.
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Santana-Cebollero, DeAnna. "Physician Well Being and Patient Satisfaction Among Employed Physicians." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/167.

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Understanding physician well-being may help prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Using the biopsychosocial-spiritual theory as the conceptual framework, this quantitative study examined the relationship between: (a) physician well-being and patient satisfaction, (b) physician gender and physician well-being, (c) primary care providers' and specialists' well-being, (d) patient satisfaction based on physician specialty, and (e) the duration of practice and physician well-being. All of the 87 employed physicians in a Florida regional hospital were invited to respond to a physician well-being questionnaire; a response rate of 58.4% was achieved. Patient satisfaction information was obtained through archived data of 4,500 patient surveys. Data were analyzed utilizing linear regression to examine the relationship between patient satisfaction and duration of physicians' practice, with the dependent variable, physician well-being. Two logistic regression analyses were utilized to examine (a) differences between physician well-being, gender, and specialty; and (b) differences between patient satisfaction and physician specialty. There were no significant relationships evident; however, it was speculated that the nonsignificance may be due to the small available sample of physicians. Future research on physician well-being may use the current findings to refine the conceptual framework and increase the understanding of how physician well-being can prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Future research in this area will have the potential to increase the quality of patient care that will address positive social change.
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Collins, Blanche C. "The association between 2002 office Chlamydia screening rates, physician perception, and physician behavior." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2006. https://www.mhsl.uab.edu/dt/2007r/collins.pdf.

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Spitulnik, Jay J. "Physician Collaboration and Improving Health Care Team Patient Safety Culture: A Quantitative Approach." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6486.

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Studies have found links between physician relationships with nurses, patient safety culture, and patient outcomes, but less is known about a similar link between physician relationships with allied health professionals (AHPs), patient safety culture, and patient outcomes. The purpose of this exploratory quantitative, survey study was to investigate whether physician interactions with AHPs contribute to improved patient-safety culture, AHP empowerment, and self-efficacy. Based on a theoretical framework consisting of structural empowerment, psychological empowerment, and self-efficacy, it was hypothesized that self-efficacy is predicted by structural and psychological empowerment and self-efficacy predicts a positive patient safety culture. The AHP Survey of Physician Collaboration was constructed using psychometrically sound items from instruments that have studied similar phenomena. A purposive sample with 95 respondents consisted of occupational and physical therapists currently working in hospitals. Pearson Product-Moment correlation, standard multiple regression analysis, independent groups t-tests, and one-way between groups analyses of variance were employed. Although the survey results did not indicate a statistically significant relationship between psychological empowerment and patient-safety culture, findings in this study indicated that patient-safety culture has a significant positive correlation with structural empowerment and self-efficacy. Structural empowerment and self-efficacy were found to significantly predict patient-safety culture. The results did not show differences based on gender, profession, age, or years of service. By illustrating the nature of the relationship between physicians and AHPs, the results of this study can affect social change through enhancing the ability to reduce the number of preventable negative health outcomes in hospitals.
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Butler, E. Sonny. "The Role of Information in the Selection Process of a Primary Care Physician." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc279148/.

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There is a paucity of information about the various factors that influence the selection of primary care physicians. Also, the relative significance of these factors is not known, making it difficult to properly address ways to improve the information flow to patients when they select a primary care physician.
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Marshall, Emily Gard. "Understanding and overcoming barriers in the physician-patient relationship related to the sexual health of adolescent women in Amherst, Nova Scotia." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0016/MQ57310.pdf.

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Cheun, Jacquelyn Joann. "How eHealth Literacy Impacts Patient-Provider Relationships: A Study on Trust, Self-Care, and Patient Satisfaction." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1011860/.

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It has been well established, in the literature, the association between low health literacy rates and poor health outcomes. With the increase of technology dependence, more people are using the internet to look up health information. Research has shown that shared decision making between providers and patients can improve patients' health outcomes. This research aims to examine whether electronic health (eHealth) literacy impacts patient-provider relationships. This research will also examine how geography specifically state residency impacts eHealth literacy rates. Data collected from a national sampling of online health and medical information users who participated in the Study of Health and Medical Information in Cyberspace (N=710) is used to construct structural equation models from SPSS AMOS v. 20.0. After path analysis, the results shown that white males with higher education were more likely to have higher eHealth literacy rates and that eHealth literacy rates are associated with better self-care, higher patient satisfaction and increased trust in provider. Also, state residency does not have an impact on eHealth literacy rates. eHealth literacy will be significant in patient-provider relationships. Program development should be established on focusing on eHealth literacy across the lifespan. Also, it will be important to review federal policy on technology disbursements in order to achieve national goals on eHealth literacy rates.
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Книги з теми "Physician and patient Sexual behavior"

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National Association of Women and the Law. Submission to the Legislative Committee on Bill 100: An act to amend the Regulated Health Professions Act, 1991. Ottawa: National Association of Women and the Law, 1993.

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2

Archie, Brodsky, ed. Sexual dilemmas for the helping professional. New York: Brunner/Mazel, 1991.

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3

Marilou, McPhedran, and College of Physicians and Surgeons of Ontario., eds. The final report of the Task Force on Sexual Abuse of Patients. [Toronto: The Task Force?, 1991.

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4

Wolbert, Burgess Ann, and Hartman Carol R, eds. Sexual exploitation of patients by health professionals. New York: Praeger, 1986.

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5

O, Gabbard Glen, ed. Sexual exploitation in professional relationships. Washington, DC: American Psychiatric Press, 1989.

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6

Rutter, Peter. Sex in the forbidden zone: When men in power--therapists, doctors, clergy, teachers, and others--betray women's trust. Los Angeles: J.P. Tarcher, 1989.

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7

Sex in the forbidden zone: When men in power, therapists, doctors, clergy, teachers, and others betray women's trust. New York: Ballantine Books, 1997.

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8

Sex in the forbidden zone: When men in power--therapists, doctors, clergy, teachers, and others--betray women's trust. New York: Fawcett Crest, 1991.

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9

Sex in the forbidden zone: When men in power--therapists, doctors, clergy, teachers, and others--betray women's trust. London: Unwin, 1990.

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10

Children, Metro Action Committee on Public Violence Against Women and. Brief to the Health Disciplines Review Committee. Toronto: [s.n.], 1986.

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Частини книг з теми "Physician and patient Sexual behavior"

1

Koenig, Karl, and Benjamin J. Kopp. "Variation, Costs, and Physician Behavior." In Quality Improvement and Patient Safety in Orthopaedic Surgery, 171–77. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-07105-8_16.

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2

Ciman, Matteo. "iSenseYourPain: Ubiquitous Chronic Pain Evaluation through Behavior-Change Analysis." In Quantifying Quality of Life, 137–49. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94212-0_6.

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AbstractPain is experienced either due to a physical condition, where it represents associated with actual or potential tissue damage, or due to a psychological situation, implying mental suffering, mental torment. Acute pain lasts for a limited amount of time and is provoked by a specific cause, while chronic pain is a long-term condition that drastically decreases quality of life and may affect patients absent from any biological cause. Chronic pain can affect cognitive functions (e.g., reasoning ability, attention, working memory), mood, sleep quality, sexual functions, and overall mental health. Generally, chronic pain therapy requires a multidisciplinary and complex approach. This chapter proposes a system called iSenseYourPain that continuously assesses chronic pain by leveraging ubiquitous sensor-based behavior assessment techniques. Based on findings from previous research and focusing on qualitative and quantitative assessment of patients’ behavior over time, the iSenseYourPain system is designed to automatically collect data from ubiquitous and everyday smart devices and identify pain-based behavior changes (e.g., changes in sleep duration and social interactions). It facilitates the providing of immediate assistance for pain and discomfort reduction by informing relatives and medical staff of the likelihood of potentially critical health situations. The overall goal of the iSenseYourPain system is to identify pain-related behavior changes in an accurate and timely manner in order to support patients and physicians, allowing the latter to have constant and accurate data on the patient’s condition.
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Marco, Catherine A. "Risky Behavior." In Legal and Ethical Issues in Emergency Medicine, 153–60. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190066420.003.0021.

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Patients may present to the emergency department (ED) for various complaints and requests related to risky sexual behavior. Such concerns may include pregnancy or infectious disease transmission, including urethritis, cervicitis, HIV, hepatitis, or others. Emergency physicians should test for pregnancy and infectious diseases, treat empirically for appropriate patients, and refer patients for counseling to reduce risky sexual behavior. Following a significant potential HIV exposure, postexposure prophylaxis (PEP) should be considered. The decision to administer PEP should be based on shared decision-making with the patient and should include assessment of the risk of the exposure and HIV status of the source patient. If the HIV status of the source patient is unknown, the source should be tested following informed consent and counseling. Patients should be referred to outpatient follow-up, including primary care, infectious disease, and if indicated, social services.
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Rhodes, Rosamond. "Duties of Behavior Toward Patients." In The Trusted Doctor, 118–37. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190859909.003.0006.

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This chapter explains three central physician duties that clearly set medical ethics apart from common morality: nonjudgmental regard, nonsexual regard, and confidentiality. Because patients will not trust doctors when they are not confident in the doctor’s devotion and commitment to meeting their medical needs, doctors must avoid any intimation of judging a patient unworthy of care. Because doctors need their patients to trust that the intimacy of the doctor-patient relationship has no sexual overtones in spite of the revelation, nudity, and touching, doctors must maintain nonsexual regard in their patient interactions. Because doctors need patients to divulge intimate personal details about their behavior and history in order to make accurate diagnoses and develop treatment plans, patients must be able to trust their doctors to uphold confidentiality and only share medical information with other professionals on a need-to-know basis. These duties are explained and illustrated with numerous case examples.
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Bruessow, Diane. "LGBTQ Community." In Palliative and Serious Illness Patient Management for Physician Assistants, edited by Nadya Dimitrov and Kathy Kemle, 344–50. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190059996.003.0018.

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Sexual and gender minority (SGM) patients are often assumed to be cisgender and heterosexual by healthcare professionals, resulting in missed opportunities for a patient-centered experience. Although lesbian, gay, bisexual, and transgender (LGBT) is the common parlance, SGM is the preferred terminology in science-based settings (e.g., the National Institutes of Health and the Centers for Disease Control and Prevention) because it includes individuals with minority sexual attraction, sexual behavior or gender identity whose sexual or gender identity is something other than LGBT. Despite bioethics placing anti-LGBT bias below professional standards, disclosure places SGM patients at risk of bias and discrimination, such as refusal to treat, stereotyping, and explicit and implicit bias. SGM patient disclosure is frequently inhibited by the anticipation of bias and discrimination from healthcare workers. By establishing a patient-centered practice, informed by the needs of SGM patients and their support network, physician assistants in palliative care medicine can enhance the end-of-life experience of their SGM patient population while optimizing community and individual resilience.
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Egea, José Manuel Ortega. "Physicians’ Acceptance of E-Health." In Encyclopedia of Cyber Behavior, 634–48. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-4666-0315-8.ch054.

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Physicians’ acceptance of e-health refers to physicians’ voluntary or intended use of e-health services or applications—defined as ‘‘health services and information delivered or enhanced through the Internet and related technologies” (Eysenbach, 2001). Physicians exert a crucial influence on the successful diffusion and implementation of health information technology, largely because of their service-generating role in health care. Drawing on the Technology Acceptance Model—TAM (Davis, Bagozzi, & Warshaw, 1989) and its extended/adapted versions, empirical evidence has accumulated to suggest the importance of cognitive instrumental processes—especially usefulness perceptions—in accounting for physicians’ acceptance of e-health. This chapter discusses physicians’ acceptance of four e-health applications: (1) Electronic prescriptions—i.e., IT-based management and automation of drug prescriptions; (2) EHCR systems—viewed as IT systems for electronic recording and storage of patient information; (3) Patient-physician and physician-physician online communication; and (iv) Telemonitoring applications—i.e., IT systems enabling remote monitoring of patients.
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Bruessow, Diane, Jonathan Baker, and Lauren Eisenbeis. "Care of the Sexual and Gender Minority Patient." In Clinical Medicine for Physician Assistants. New York, NY: Springer Publishing Company, 2022. http://dx.doi.org/10.1891/9780826182432.0019.

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Kraus, Chadd K. "“12/10” Abdominal Pain." In Legal and Ethical Issues in Emergency Medicine, 129–34. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190066420.003.0017.

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Pain is the most common reason for presentation to the emergency department (ED). Treating pain and eliciting the etiology of pain are fundamental responsibilities of emergency physicians. Frequently termed drug-seeking behavior, presentations of pain in patients with a history of drug misuse or drug addiction and dependence that are unrelated to an acute injury or illness can pose an ethical dilemma for emergency physicians. Emergent etiologies for the patient’s pain must be excluded and might require diagnostic testing, such as laboratory or imaging studies. The emergency physician should not assume that the patient has no injury or illness and is simply drug seeking. Nonnarcotic, nonpharmacologic, or opioids or other analgesics might be the appropriate treatment for a patient with a history of drug-seeking behavior, addiction, or dependence depending on the clinical situation.
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Schraeder, Terry L. "Digital Communication." In Physician Communication, 55–112. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190882440.003.0002.

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There are few aspects of society, including clinical medicine, still untouched by digital communication and the Internet. It would seem that the important and intimate conversations in a doctor’s office or at the bedside should be one of the last refuges to provide private and exclusive face-to-face discourse between two humans, free of the distraction and distance of the computer. But that is changing. From computers in the exam room to electronic medical records, to email exchanges with patients and medical apps, computers are ever present in the delivery of healthcare. Of course, information technology has revolutionized medicine, and the advantages for patients and physicians are numerous. Through patient portals, patients can now look at their lab results, learn more about their diagnosis, and ask relevant questions; physicians can respond quickly to emailed questions; and patients can inform themselves about surgery by watching online videos. Apps monitor physiological data points; robots deliver medications and perform surgery; and artificial intelligence plays a bigger role in the analysis of complex healthcare data. Many physicians have jumped on board with social media, where they can have a variety of professional and personal interactions. It seems that those in medicine have readily adapted to the electronic universe. But how has it affected physicians’ behavior, expectations for access and processing of information, and most important, relationships with their patients? This chapter explores those topics and takes a closer look at the different ways in which medical professionals are communicating and interacting in the digital universe.
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Taylor, Bridget. "Sexuality and cancer." In Oxford Handbook of Cancer Nursing, edited by Mike Tadman, Dave Roberts, and Mark Foulkes, 605–12. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198701101.003.0050.

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Sexuality is unique to each person and includes physical, psychological, social, and cultural factors that influence sexual values, beliefs,, and behaviour. Cancer and its treatments can disrupt many aspects of the sexual lives of patients. Lesbian, gay, bisexual or transgender people (LGBT) may have particular needs as a result of cancer and its treatment. Cancer causes changes to body image through amputation, scarring, hair loss, drug side effects, and weight changes. Patients can be prepared in advance by providing images of how appearance may change. After treatment, the partner of the patient, support groups, or professionals, including sexual counsellors, may help them through a period of adjustment. Sexual problems, like changes to physical sensation, pain, loss of sexual response and impotence, infertility, and loss of confidence and intimacy, may be associated with cancer treatments. There is a range of resources available to individuals and couples, including written and Internet-based information. Despite the effects of cancer and its treatment, many couples adjust by re-evaluating the place of sexual activity in their lives, and some couples report becoming closer as a result. Patients report that they want nurses to provide information and initiate conversations about sexuality. However, many nurses find this difficult. Important principles of working with a patient’s sexuality include: letting them know it is acceptable to talk about sexuality, treating it as an element of health and quality of life, providing information about the sexual problems associated with cancer, addressing problems that are raised, and finding sources of additional support.
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Тези доповідей конференцій з теми "Physician and patient Sexual behavior"

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Steuart, Shelby. "Do Cannabis PDMPs Change Physician Prescribing Behavior?" In 2022 Annual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.02.000.42.

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As legal medical cannabis has become widespread in the United States, cannabis-related emergency department visits have increased. One reason for this increase is that physicians cannot prescribe medical cannabis, leading to a situation where physicians must rely on their patients to tell them whether they use medical cannabis. Patients may withhold their use of cannabis from their physician out of fear of judgment or fear of changes to their prescriptions. At the same time, almost 400 medications have moderate or severe contraindications for use with cannabis, any of which could cause a poisoning severe enough to warrant hospitalization. To combat this problem of information asymmetry in patient cannabis use, about one-third of states with medical cannabis programs have added cannabis to their state Prescription Drug Monitoring Program (PDMP) over the past few years. This could lead to changes in the physician prescribing behavior, which may result in fewer accidental cannabis-related poisonings. I will explore this question through the application of robust difference-in-difference models to private and public insurance claims data as well as data from Electronic Medical Records.
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Ostensen, M. "SP0046 What we need to consider in physician-patient communication on sexual problems in different rheumatic conditions." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.7832.

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Bai, Jinbing, Despina Tsementzi, Pretesh Patel, Joseph Shelton, Mary Dolan, Jessica Arluck, Namita Khanna, Tony Y. Eng, Konstantinos T. Konstantinidis, and Deborah Watkins Bruner. "Abstract LB-362: Vaginal microbiome associated with patient-reported sexual dysfunction and physician-reported vaginal adverse events in gynecologic cancer women across radiotherapy." In Proceedings: AACR Annual Meeting 2020; April 27-28, 2020 and June 22-24, 2020; Philadelphia, PA. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7445.am2020-lb-362.

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Marcean, Crin, and Mihaela Alexandru. "PROFESSIONAL IDENTITY AND PROFESSION VALUES TRANSPOSED INTO NURSING EDUCATION." In International Conference on Education and New Developments. inScience Press, 2022. http://dx.doi.org/10.36315/2022v1end030.

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"Professional identity is the concept that describes how we perceive ourselves in our occupational context and how we communicate it to others. Professional identity is not static, but fluid. It is strongly influenced by how we see ourselves, how we perceive others and how we are viewed by society. Professional values are inherent characteristics of every profession and are part of the professional identity. Personal values are a powerful tool that influences our lives. They are the standards that each of us defines in order to live according to them and often influence our attitude and behavior. The profession of nurse/ midwives is defined by the values that each practitioner experiences every day in relation to his profession and each patient with whom he interacts. The professionalism of nursing profession requires that the nurses, midwifes to be able to provide quality health care services adapted to the society healthy needs, no matter age, social position, gender, political and sexual orientation or other differentiation criteria. In this way they will be able to increase the population’s health level. The Order of Nurses and Midwives of Romania implemented POLMED project which objective was to develop a set of fundamental professional values for nurses and midwives, for the benefit of the medical-patient staff relationship. The project aimed at developing an analysis of European public policies on the values of nursing and midwifery, conducting a survey of the current situation in Romania on the values of nursing and midwifery by involvement of 200 nationally selected nurses and midwives, as well as the training of 45 nurses and midwives in the design and evaluation of public policies. As a result, the ability of medical personnel to meet the citizen’s need to have quality health system is directly linked first and foremost to the reform of the educational system of professional training, which internalizes a values system centered on professionalism, empathy towards the patient and cooperation with patients and other categories of professionals in the medical system. The paper work is divide in two parts, the first part presents a survey in order to develop a set of fundamental professional values for nurses and midwives, and the second part presents the way these values were transposed in the nursing education. The paper presents a study on the ways of transposing the professional identity and profession values into the nursing education."
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