Please use this identifier to cite or link to this item:
Title: Does physician bias affect the quality of care they deliver?: Evidence in the care of sexually transmitted diseases
Contributor(s): Khan, Asaduzzaman (author); Plummer, D (author); Hussain, Rafat  (author); Minichiello, Victor  (author)
Publication Date: 2008
DOI: 10.1136/sti.2007.028050
Handle Link:
Abstract: Background: Primary care providers are well placed to control the spread of sexually transmitted infections (STI); however, care is likely to be influenced by their attitudes and beliefs. The present study investigates the relationship between general practitioner’s (GP) self-reported level of comfort in dealing with patients with STI and the care they deliver. Methods: A postal survey was conducted using a stratified random sample of 15% of GPs practising in New South Wales, Australia, to assess practitioners’ management of STI. A total of 409 GPs participated in the study yielding a response rate of 45.4%. Results: Although over two-thirds (69–72%) of GPs were comfortable in managing STI in heterosexual or young patients, fewer than half (40–46%) felt comfortable caring for patients who were sex workers, indigenous, people who inject drugs, gay or lesbian. Practitioners who were comfortable were more likely to offer sexual risk assessment, safe-sex counselling, and were less likely to report limited ability to influence patients’ risk behaviours. Practitioner discomfort was positively associated with reporting constraints in sexual history-taking and the need for training in sexual health. Conclusions: Practitioners' care and support for patients with STI are influenced by their inexperience, lack of skills and/or attitudes. The reasons for GP discomfort in managing STI patients need further exploration as does its impact on patient care.
Publication Type: Journal Article
Source of Publication: Sexually Transmitted Infections, 84(2), p. 150-151
Publisher: BMJ Publishing Group
Place of Publication: London, UK
ISSN: 1368-4973
Field of Research (FOR): 111712 Health Promotion
Socio-Economic Outcome Codes: 920413 Social Structure and Health
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Statistics to Oct 2018: Visitors: 142
Views: 141
Downloads: 0
Appears in Collections:Journal Article

Files in This Item:
2 files
File Description SizeFormat 
Show full item record


checked on Nov 26, 2018

Page view(s)

checked on Mar 4, 2019
Google Media

Google ScholarTM



Items in Research UNE are protected by copyright, with all rights reserved, unless otherwise indicated.