Reply by Authors

Alam, Syed M.; Malik, Mahnoor; Thompson, Jeffrey; Mirza, Moben; Kowalik, Casey G.

doi:10.1097/upj.0000000000000327.03

Cited by 1 publication

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 Guidelines and literature note that regardless of whether a chaperone is utilized, a patient's decision comes first. 4,5,18,19 Telehealth will require clear guidelines on the use of sensitive physical exams through video and audio platforms, indicating that the use of chaperones may need to be re-addressed to fall in line with the changing medical landscape. 20 To increase efficiency, patient preferences for a chaperone can be clearly addressed during the scheduling process, which may accommodate staff availability in advance.…”

Section: Discussionmentioning

confidence: 99%

“…Studies investigating patient perspectives on sensitive exams in primary care and obstetrics/gynecology demonstrate that patients generally do not wish to have a chaperone present for their examination. [4][5][6] This holds true for sensitive exams within urology, 11.5-42% prefer chaperones, (Table 1) and is especially pronounced for male patients, who prefer the presence of a chaperone less than female patients. 4,7,8 Patients reported trust in their provider, and lack of comfort or embarrassment with sensitive exams as reasons for not wanting a chaperone present.…”

Section: Perspectives On Chaperonesmentioning

confidence: 99%

“…[4][5][6] This holds true for sensitive exams within urology, 11.5-42% prefer chaperones, (Table 1) and is especially pronounced for male patients, who prefer the presence of a chaperone less than female patients. 4,7,8 Patients reported trust in their provider, and lack of comfort or embarrassment with sensitive exams as reasons for not wanting a chaperone present. 4 Patient preference around chaperone use during urologic examinations, however, is more nuanced.…”

Section: Perspectives On Chaperonesmentioning

confidence: 99%

“…4,7,8 Patients reported trust in their provider, and lack of comfort or embarrassment with sensitive exams as reasons for not wanting a chaperone present. 4 Patient preference around chaperone use during urologic examinations, however, is more nuanced. In an earlier study, the majority (73%) of male urology patients felt a chaperone should be offered for every encounter while a smaller group (14%) actually prefer a chaperone to be present.…”

Section: Perspectives On Chaperonesmentioning

confidence: 99%

See 3 more Smart Citations

Chaperones Utilization in Clinical Practice: Intimate and Sensitive Physical Examination Best Practice Strategies and Concepts in Modern Urological Medicine

Mitra

Koerber

Shah

et al. 2022

Health Psychology Research

View full text Add to dashboard Cite

The intention of utilizing chaperones during sensitive physical exams is to show respect to the patient, while simultaneously providing protection to both the patient and the medical provider. Despite clinical practice recommendations to offer chaperones for sensitive urologic exams, there is no data regarding the consistency of chaperone utilization. Our aim was to summarize the patient and provider perspectives on the role of chaperones in urology as well as identify barriers to implement chaperone consistency. In the present investigation, we conducted a systematic review of prospective, case-control, and retrospective studies and followed the PRISMA 2020 guidelines for data reporting. Studies were identified from PubMed, MEDLINE, and PMC using the Medical Subject Headings (MeSH) terms “chaperones, patient”, “chaperones, medical”, and keywords “chaperones”, and “urology”. Studies were included if they addressed patient/provider perspectives on chaperone utilization in urology specifically and were excluded if they investigated perspectives on chaperone utilization in other specialties. Preliminary study identification yielded 702 studies, 9 of which were eligible for this review after applying the inclusion and exclusion criteria. Of these, 4 studies focused on the patient perspective and 5 focused on the provider perspective. The percentage of patients that did not have a chaperone present during their urologic exam ranged from 52.9-88.5%. A greater proportion of these patients were male. Patients (59%) prefer a family member compared to a staff member as a chaperone. Physicians (60%) prefer staff member chaperones compared to family members. One study reported that 25.6% of patients did not feel comfortable to ask for a chaperone if they were not offered one. Two studies reported the percentage of patients who believed chaperones should be offered to all urology patients, ranging from 73-88.4%. Three studies reported the use of chaperones in the clinic which ranged from 5-72.5%. Two studies reported chaperone utilization documentation, ranging between 16-21.3%. Two studies reported the likelihood of chaperone utilization depending on gender of the physician, showing that male physicians were more likely to utilize chaperones and were 3x more likely to offer chaperones to their patients compared to female physicians. Research suggests that there are differing perspectives between patients and physicians regarding the specific role and benefits chaperones offer during a sensitive urologic examination, as well as differences in preferences of who should perform the role of the chaperone. While more work needs to be done to bridge the divide between clinical practice and patient/physician preferences, the act of offering chaperones to urologic patients, regardless if they want to utilize a chaperone for their examination is respectful of patient privacy and decision making.

show abstract

Section: Discussionmentioning

confidence: 99%