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| Management of erectile dysfunction: barriers faced by general practitioners |
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| Author(s): Low WY, Ng CJ, Tan NC, Choo WY, Tan HM |
| Source: ASIAN JOURNAL OF ANDROLOGY Volume: 6 Issue: 2 Pages: 99-104 Published: JUN 2004 |
| Times Cited: 8 References: 15 |
| Abstract: Aim: To explore the barriers faced by general practitioners (GPs) in the management of patients with erectile dysfunction (ED). Methods: This was a qualitative analysis of focus group discussions and in-depth interviews involving 28 Malaysian GPs. Results: GPs' perception of ED being not a serious condition was a major determinant of their prescribing practice. Doctor's age (younger), gender (female), short consultation time and lack of experience were cited as barriers. The GPs' prescribing habits were heavily influenced by the feedback from the first few patients under treatment, the uncertainty of etiology of ED without proper assessment and the profit margin with bulk purchase. Other barriers include Patients' coexisting medical conditions, older age, lower socio-economic status, unrealistic expectations and inappropriate use of the anti-impoteneet drugs. Cardiovascular side effects and cost were two most important drug barriers. Conclusion: The factors influencing the management of ED among the general practitioners were multiple and complex. An adequate understanding of how these factors (doctors, patients and drugs) interact can assist in the formulation and implementation of strategies that encourage GPs to identify and manage ED patients. |
| Document Type: Article |
| Language: English |
| Reprint Address: Low, WY (reprint author), Univ Malaysia, Fac Med, Hlth Res Dev Unit, Kuala Lumpur 50603, Malaysia |
Addresses:
1. Univ Malaysia, Fac Med, Hlth Res Dev Unit, Kuala Lumpur 50603, Malaysia
2. Univ Malaysia, Fac Med, Dept Primary Care Med, Kuala Lumpur 50603, Malaysia
3. Natl Univ Singapore, Fac Med, Dept Community Occupat & Family Med, Singapore 0511, Singapore
4. Subang Jaya Med Ctr, Asia Pacific Soc Impotence Res, Selangor, Malaysia |
| Publisher: SCIENCE CHINA PRESS, 16 DONGHUANGCHENGGEN NORTH ST, BEIJING 100717, PEOPLES R CHINA |
| Subject Category: Andrology; Urology & Nephrology |
| IDS Number: 827RJ |
| ISSN: 1008-682X |
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