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A small but growing group of physicians is starting ‘’ideal medical practices” that put the individual patient at the heart of health care.

In a recent letter to the New England Journal of Medicine, Playing Politics with the Doctor–Patient Relationship, physician and abortion provider Deborah Oyer describes how laws restricting abortion access threaten the relationship between doctors and patients.

Oyer writes specifically about Arizona’s House Bill 1359, which states that doctors can’t be held liable if they lie to women about the health of the fetus. In other words, if a doctor discovers that something may be wrong with the fetus and thinks this information may lead the woman to have an abortion, he or she is not obligated to tell the woman what he or she suspects or discovers.

The Arizona bill is not the only anti-choice bill that is problematic for doctors. Oyer writes:

Many laws have undermined the doctor–patient relationship — mandating that doctors say things to patients that are blatantly untrue, requiring that specific tests be performed whether the doctor thinks they are necessary or not, and requiring waiting periods regardless of whether the woman and her doctor think she is confident in her decision.

Oyer praises physicians who have spoken out about these problematic laws, but also questions why more aren’t questioning them:

But, quite frankly, I wonder why so few have come forward and what has taken them so long. Arizona passed a bill that legitimizes lying to one’s patients. Where were the medical associations testifying against this law? Why did they not pull out their full lobbying power to put a stop to this intrusion into the doctor–patient relationship?

The full text of the letter is freely available online. For more from physicians who support women’s reproductive rights, check out Physicians for Reproductive Health and Choice.

From Our Bodies, Our Blog — and hooray for Deb Oyer!  We’ve worked with her directly here in Seattle, she’s on our advisory board at Scarleteen, and she’s one of the most amazing sexual and reproductive healthcare providers out there.

Men discuss sexual dysfunction with their doctors, so why not women? Many obstetricians/gynecologists may not ask about a how a patient’s sex life is going.

A new study looks at how many female reproductive system specialists actually talk to their patients about sex. Results show that most don’t broach a lot of subjects and some even openly show signs of disapproval.

Researchers from the University of Chicago, led by Janelle N. Sobecki, MA., surveyed obstetricians/gynecologists (OB/GYN) to determine the level of communication about sexual activity with their patients.

They surveyed a total 1,147 OB/GYNs in the U.S., 53 percent were male and their average age was 48 years. As OB/GYNs would have the most medical reason to discuss sexual practices with a patient, researchers designed the survey to question just how candid the doctors really were being with their patients.

Only 65.6 percent of the 1,760 doctors were even willing to respond to the survey. 63 percent of responders claimed to routinely assess their patient’s sexual activities.  Forty percent said they routinely asked their patients about any sexual problems they were having. Twenty-eight and a half percent asked their patients whether they were satisfied with their sex life, while only 13.8 percent asking their patients if they enjoyed sexual activity. Twenty-seven percent asked about sexual orientation or sexual identity. Around 25 percent admitted they had expressed disapproval of a patient’s sexual practice or habits on one or more occasion.

From Daily Rx here, via The Journal of Sexual Medicine

In one study that surveyed 6,821 Philadelphia ninth-graders for the Journal of the American Medical Association, researchers found that teens want to go to doctors who wash their hands, use clean instruments, act honestly, and treat them with respect.

Makes sense, doesn’t it? Other important factors included know-how, experience, carefulness, equal treatment of all patients and confidentiality.

What don’t teens want from their doctors? Unfortunately, teenagers hear all too often about the things people think they are doing wrong. I thought it was time for a little role reversal, and so I asked a group of teenagers what they think are the “10 Things Doctors Do Wrong.” Here is what they said:

  • Doctors seem to care more about my insurance information than about my pain!
  • They act like my time doesn’t count. They should apologize when they’re running late!
  • They act like they know me when they only know my chart.
  • Doctors talk to my parent and not to me.
  • They talk to me like I am a medical student, and I don’t understand what they said.
  • They don’t believe me when I say something really hurts.
  • When they’re giving me a shot or a needle, they tell me it’s not going to hurt.
  • Doctors don’t ask before they touch!
  • They don’t give me enough time.
  • They forget to eat a mint!