1 / 25

By Alison Bigrigg GLASGOW UK

The Advantages of a Fully Integrated Family Planning (FP) and Genito-urinary Medicine (GUM) Service. By Alison Bigrigg GLASGOW UK. There have always been beliefs and Taboos About Sex……. Permissible Positions Anything other than ‘missionary’ is unnatural 3 yrs penance for women on TOP

joanna
Download Presentation

By Alison Bigrigg GLASGOW UK

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Advantages of a Fully Integrated Family Planning (FP) and Genito-urinary Medicine (GUM) Service By Alison Bigrigg GLASGOW UK

  2. There have always been beliefs and Taboos About Sex…… • Permissible Positions • Anything other than ‘missionary’ is unnatural • 3 yrs penance for women on TOP • Beastly position blurred boundary between men and animal Official Handbook for Priests 1215

  3. There have always been beliefs and Taboos About Sex….. • Doctors thought sex was necessary for health “A hundred thousand men died there because from women they abstained they had not perished thus had they not been abstemious” Ambrose, Poet Historian of the Third Crusade

  4. Beliefs and Taboos of Late 20th Century • STI clinics are for ‘dirty old men in raincoats’ And are always located ‘in damp dark hospital basements’ • FP patients are ‘nice’ married ladies or at least in monogamous relationships so there is no need to talk about sex

  5. Beliefs and Taboos about Sex in Late 20th Century “I’m scared” “you don’t think it will happen to you” “I felt dirty” “only seedy, seedy people prostitutes and like get STI’s” “nice girls don’t”

  6. Who Goes to Which Clinic? • Subtle differences between women who use GUM clinics or attend FP clinics, but much cross over of use • More men do use GUM clinics than FP, but it would be advantageous to increase men (and boys) attending FP

  7. Characteristics of Women presenting to GUM and FP Services in Glasgow (1)

  8. Women presenting with Vaginal Discharge (2002)

  9. Characteristics of Women presenting To GUM and FP Services in Glasgow (2)

  10. What are the Consequences of Combining GUM and FP Clinics? • Do men stay away from ‘women’s clinics’ or ‘abortion clinics’? • Do women stay away from “those dirty men in long grey raincoats?” • Do users worry about confidentiality?

  11. NO!

  12. Combining FP and GUM Clinics (1) • More people of both genders attend once clinics merge (UK experience) • 40% increase in new GUM attendances in 2 years • 10% increase in overall FP attendances in 2 years

  13. Combining FP and GUM Clinics (2) Client satisfaction with services rises (Glasgow experience) Significant improvement in % of clients who: • thought the clinic was sufficiently confidential • were happy with overall care • rated the facilities as excellent

  14. Combining FP and GUM Clinics (3) Staff satisfaction rises Staff in Glasgow think + services were more frequently good or very good after merger + better environment for clients and staff

  15. …… in the 21st Century lets blow away the taboos and provide comprehensive sexual and reproductive health services in bright modern buildings!

  16. Barriers to Combining GUM and FP Clinics Not the users but can be the staff! + different professional backgrounds + fixed way of doing things + communication problems – larger services + Egos : big fish in little pond

  17. Different Professional Backgrounds

  18. GUM Physicians Hospital based since World War I Physicians Disease orientated approach with multiple tests Concentrate on one to one care FP Doctors/Community Gynaecologists Roots in voluntary movements in community. Only into NHS in 1974. Surgical background Promote client focused approach with minimal tests More whole population approach Different Professional Backgrounds CLASH OF CULTURES BUT EACH CAN LEARN FROM OTHER

  19. Fixed Ways of Doing Things

  20. Fixed Ways of Doing Things Examples of how clinician views changed in Glasgow • GUM “on-site microscopy” • no longer undertaken for asymptomatic women • (ii) FP : Improved sexual history taking, identifies need for chlamydia testing • (iii) FP : Understands importance of partner notification • (iv) GUM : Change from fixed number of patients to drop in sessions • + many other examples of improved resource use and clinical care

  21. Much Larger Services

  22. Larger Services • Larger knowledge and skill base e.g. information from this seminar • Larger pool of preferred tasks and strengths e.g. IT, media skills, specialist clinical knowledge (herpes) • Greater influence – by speaking with one voice • New friends

  23. Conclusion Learning together improves communication and knowledge but working together changes the way we perform to the benefit of clients and staff alike

  24. I would recommend working side by side with GUM physicians and encourage you to do so

More Related