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Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam

BACKGROUND: Sexually transmitted infections (STIs) are a public health problem in Vietnam with sub-optimal care in medical practice. Identifying practitioners’ perceived barriers to STI care is important to improve care for patients with STIs. METHODS: A cross-sectional survey was conducted among 45...

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Autores principales: Do, Khoi, Minichiello, Victor, Hussain, Rafat, Khan, Asaduzzaman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240811/
https://www.ncbi.nlm.nih.gov/pubmed/25366038
http://dx.doi.org/10.1186/1471-2458-14-1133
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author Do, Khoi
Minichiello, Victor
Hussain, Rafat
Khan, Asaduzzaman
author_facet Do, Khoi
Minichiello, Victor
Hussain, Rafat
Khan, Asaduzzaman
author_sort Do, Khoi
collection PubMed
description BACKGROUND: Sexually transmitted infections (STIs) are a public health problem in Vietnam with sub-optimal care in medical practice. Identifying practitioners’ perceived barriers to STI care is important to improve care for patients with STIs. METHODS: A cross-sectional survey was conducted among 451 physicians. These physicians were dermatology and venereology (D&V) doctors, obstetrical/gynaecological (Ob/Gyn) doctors, general practitioners, and assistant doctors working in health facilities at provincial, district and communal levels in three provinces in Vietnam. RESULTS: Almost all (99%) respondents mentioned at least one barrier to STI care. The barriers were “lack of STI training” (57%), “lack of professional resources” (41%), “lack of time” (38%), “lack of reimbursement” (21%), “lack of privacy/confidentiality” (17%), “lack of counselling” (15%), and “not the role of primary care provider” (7%). Multivariable logistic regression analysis showed that “lack of professional resources” was associated with respondents being in medical practice for ten years or under (vs. 11–20 years), and working at district or communal health facilities (vs. provincial facilities); “lack of time” were associated with respondents being female, seeing more than 30 patients a week (vs. <15 patients/week); and “lack of privacy/confidentiality” was associated with physicians’ seeing more than 30 patients a week (vs. <15 patients/week). CONCLUSION: The study has identified several barriers to STI care in medical practice in Vietnam. Results of the study can be used to improve areas in STI care including policy and practice implications.
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spelling pubmed-42408112014-11-23 Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam Do, Khoi Minichiello, Victor Hussain, Rafat Khan, Asaduzzaman BMC Public Health Research Article BACKGROUND: Sexually transmitted infections (STIs) are a public health problem in Vietnam with sub-optimal care in medical practice. Identifying practitioners’ perceived barriers to STI care is important to improve care for patients with STIs. METHODS: A cross-sectional survey was conducted among 451 physicians. These physicians were dermatology and venereology (D&V) doctors, obstetrical/gynaecological (Ob/Gyn) doctors, general practitioners, and assistant doctors working in health facilities at provincial, district and communal levels in three provinces in Vietnam. RESULTS: Almost all (99%) respondents mentioned at least one barrier to STI care. The barriers were “lack of STI training” (57%), “lack of professional resources” (41%), “lack of time” (38%), “lack of reimbursement” (21%), “lack of privacy/confidentiality” (17%), “lack of counselling” (15%), and “not the role of primary care provider” (7%). Multivariable logistic regression analysis showed that “lack of professional resources” was associated with respondents being in medical practice for ten years or under (vs. 11–20 years), and working at district or communal health facilities (vs. provincial facilities); “lack of time” were associated with respondents being female, seeing more than 30 patients a week (vs. <15 patients/week); and “lack of privacy/confidentiality” was associated with physicians’ seeing more than 30 patients a week (vs. <15 patients/week). CONCLUSION: The study has identified several barriers to STI care in medical practice in Vietnam. Results of the study can be used to improve areas in STI care including policy and practice implications. BioMed Central 2014-11-04 /pmc/articles/PMC4240811/ /pubmed/25366038 http://dx.doi.org/10.1186/1471-2458-14-1133 Text en © Do et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Do, Khoi
Minichiello, Victor
Hussain, Rafat
Khan, Asaduzzaman
Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam
title Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam
title_full Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam
title_fullStr Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam
title_full_unstemmed Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam
title_short Physicians’ perceived barriers to management of sexually transmitted infections in Vietnam
title_sort physicians’ perceived barriers to management of sexually transmitted infections in vietnam
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240811/
https://www.ncbi.nlm.nih.gov/pubmed/25366038
http://dx.doi.org/10.1186/1471-2458-14-1133
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