Do Extratherapeutic Factors Affect Residentsʼ Decisions to Prescribe Medication for Erectile Dysfunction in Ethically Challenging Scenarios?

Farber, Neil J.; Cederquist, Lynette; Devereaux, Mary; Brown, Ed

doi:10.1097/acm.0b013e318235ac0d

Cited by 4 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in many regions of the world, and particularly in North America, very few people with psychotic disorders receive LAIs. [5][6][7][8][9][10][11][12] Attitudes of physicians toward certain types of treatments or treatment modalities may play a crucial role in shaping their prescribing practices, 13,14 and patients' acceptance of those treatments. 15 Thus attitudes of psychiatrists towards LAIs may contribute to the strikingly low use of LAIs for the treatment of psychotic disorders.…”

Section: Limitationsmentioning

confidence: 99%

A Qualitative Study of Experiences with and Perceptions regarding Long-Acting Injectable Antipsychotics: Part II—Physician Perspectives

Iyer

Banks²,

Roy

et al. 2013

Can J Psychiatry

View full text Add to dashboard Cite

In many countries, including Canada, a small proportion of people with psychotic disorders receive long-acting injectable (LAI) antipsychotics (APs), despite their demonstrated effectiveness and possible advantages for improving adherence rates. Attitudes regarding LAIs among physicians may influence their prescribing practices and thereby contribute to the underuse of LAIs. Here, we report on a qualitative study of perceptions and attitudes toward LAIs among psychiatrists in Canada. Method: Focus groups were conducted with 24 psychiatrists in 4 Canadian provinces. The focus groups inquired about experiences with and attitudes toward LAI APs. The sessions were audiotaped and transcribed verbatim, and transcripts were coded using a hybrid process of deductive and inductive methods. A brief pre-focus group questionnaire was administered. Results: The pre-focus group questionnaires indicated that psychiatrists in our study prescribed the oral formulation of APs most of the time and had limited experience with LAIs. The focus groups yielded 4 main themes: limited knowledge about and experience with LAIs; attitudes toward LAIs (beliefs about negative perceptions of patients regarding LAIs, personal bias against needles, and consensus about some advantages of LAIs); prescribing practices around LAIs (generally seen as a last-resort option for patients with a history of nonadherence); and pragmatic barriers to using LAIs (for example, cost, storage, and staffing). Conclusion: Several factors may be contributing to the underuse of LAIs and the continuing stigmatized and coercive image of LAIs. Psychiatrists may benefit from better education about LAIs, and from self-examination of their attitudes to LAIs and their prescribing practices.

show abstract

Section: Limitationsmentioning

confidence: 99%

A Qualitative Study of Experiences with and Perceptions regarding Long-Acting Injectable Antipsychotics: Part II—Physician Perspectives

Iyer

Banks²,

Roy

et al. 2013

Can J Psychiatry

View full text Add to dashboard Cite

show abstract

“…It has been recognized for decades that physicians' attitudes and beliefs on sexuality exert a profound and important influence on the efficacy of providing sexual health information. [23][24][25] Even students with negative attitudes toward some aspects of sexuality have reported increased confidence in caring for patients in practice after directed education. 11 Students who plan to enter fields that do not pertain directly to sexuality should also be aware of their own beliefs and biases to prevent these issues from interfering with appropriate care of the patient.…”

Section: Introductionmentioning

confidence: 99%

Sexual Health in Undergraduate Medical Education: Existing and Future Needs and Platforms

Shindel

Baazeem

Eardley

et al. 2016

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction This article explores the evolution and current delivery of undergraduate medical education in human sexuality. Aim To make recommendations regarding future educational needs, principles of curricular development, and how the International Society for Sexual Medicine (ISSM) should address the need to enhance and promote human sexuality education around the world. Methods The existing literature was reviewed for sexuality education, curriculum development, learning strategies, educational formats, evaluation of programs, evaluation of students, and faculty development. Main Outcome Measures The prevailing theme of most publications in this vein is that sexuality education in undergraduate medical education is currently not adequate to prepare students for future practice. Results We identified components of the principles of attitudes, knowledge, and skills that should be contained in a comprehensive curriculum for undergraduate medical education in human sexuality. Management of sexual dysfunction; lesbian, gay, bisexual, and transgender health care; sexuality across genders and lifespan; understanding of non-normative sexual practices; sexually transmitted infections and HIV, contraception; abortion; sexual coercion and violence; and legal aspects were identified as topics meriting particular attention. Conclusion Curricula should be integrated throughout medical school and based on principles of adult learning. Methods of teaching should be multimodal and evaluations of student performance are critical. To realize much of what needs to be done, faculty development is critical. Thus, the ISSM can play a key role in the provision and dissemination of learning opportunities and materials, it can promote educational programs around the world, and it can articulate a universal curriculum with modules that can be adopted. The ISSM can create chapters, review documents, slide decks, small group and roleplay topics, and video-recorded materials and make all this material easily available. An expert consensus conference would be needed to realize these recommendations and fulfill them.

show abstract

Development and Applications of Data Mining in Healthcare Procedures and Prescribing Patterns in Government Subsidized Welfare Programs

Tansitpong

2023

Lecture Notes in Networks and Systems

View full text Add to dashboard Cite

Do Extratherapeutic Factors Affect Residentsʼ Decisions to Prescribe Medication for Erectile Dysfunction in Ethically Challenging Scenarios?

Cited by 4 publications

References 10 publications

A Qualitative Study of Experiences with and Perceptions regarding Long-Acting Injectable Antipsychotics: Part II—Physician Perspectives

A Qualitative Study of Experiences with and Perceptions regarding Long-Acting Injectable Antipsychotics: Part II—Physician Perspectives

Sexual Health in Undergraduate Medical Education: Existing and Future Needs and Platforms

Development and Applications of Data Mining in Healthcare Procedures and Prescribing Patterns in Government Subsidized Welfare Programs

Contact Info

Product

Resources

About