Family medicine

The study find that many medical problems commonly seen in the primary care clinician’s office are associate with ED, the majority of men do not discuss sexual difficulties and activities with their clinician. Therefore Patients are, however, appreciative of the clinician’s willingness to listen and initiate discussions. Often a new level of patient-doctor relationship is thereby reach; which provides for comanagement of sexual and other disorders.

Difficulties and activities

The acronym “ALLOW” defines a 5-step proactive management plan for the primary care clinician to follow in order to improve his or her flexibility and sensitivity of response to the patient’s ED; at the same time; “ALLOW” helps the clinician to recognize possible limitations in managing sexual health problems.

More overall communication has been related to greater patient satisfaction; which in turn results in patients who are more involved in following through on their care; who have increased confidence in their clinician, and who continue to see one physician for their health care needs.

Primary health care is a whole-of-society approach to health and well-being centre on the needs and preferences of individuals; families and communities.  It addresses the broader determinants of health and focuses on the comprehensive and interrelated aspects of physical; mental and social health and wellbeing.

Mental and social health

It provides whole-person care for health needs throughout the lifespan; not just for a set of specific diseases. Primary health care ensures people receive comprehensive care  ranging from promotion and prevention to treatment; rehabilitation and palliative care as close as feasible to people’s everyday environment.

A respiratory tract infection can lead to unnecessary antibiotic prescribing, but an online intervention with real-time information on locally circulating viruses may reduce mothers’ intentions to visit their primary care doctor. A representative sample of mothers in the United Kingdom  was randomized to receive the online intervention, including locally enhanced influenza statistics; symptom information; and home-care advice; either before (intervention group) or after (control group) responding to a hypothetical respiratory tract infection illness scenario.

Their primary care doctor

Participants in the intervention group had lower intentions to visit the doctor than those in the control group when adjusted for demographic and clinical characteristics. Intervention material was generally well received; with information on symptoms and when to visit the primary care doctor rated as more important than information on locally circulating viruses.

If the intervention were rolled out widely; the authors surmise that it would have impact, given the high rates at which parents of children with respiratory tract infections visit primary care clinicians. The authors call for research to evaluate intervention effects on observed behavioral outcomes in real-world settings and examine long-term effects and cost-effectiveness.