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"counselor"

Original Article
Family Physician as a Counsellor Focused on Sexual and Family Problems: Cheonan Practice-Based Research Network Study.
Seong Hee Jin, Yoo Seock Cheong, Eal Whan Park, Eun Young Choi, Sun Mi Yoo, Eun Kyung Kim, Ki Sung Kim, Yun Jong Park, Hung Tag Yeoum, Hye Weon Jung, Jong Min Lee, Guwang Hwy Kim
J Korean Acad Fam Med 2004;25(4):322-328.   Published online April 10, 2004
Background
: The primary concern of a family physician is the healthcare of patients and their families, with the patient's disease itself being secondary. Family physicians should make efforts to discuss personal issues with their patients. This study examined how many patients were counseled about their private problems, especially family or sexual issues in the private clinics of Cheonan.

Methods : The subjects were the patients who visited a practice-based network from April to June in 2003. The data were collected through simple questionnaire about sociodemographic features of patients and their family and sexual problems.

Results : Eighty eight patients were studied for a total of 107 cases that consisted of 67 cases of family problems (62%) and 40 cases of sexual matters (38%). The common issues about family problems were `the partners' (23 cases, 21%) and `the patients` children' (29 cases, 27 %). The most frequent sexual problems were 'sexually transmitted diseases' (13 cases, 32.5%), `impotence' (7 cases, 17.5%), 'loss of libido, and unsatisfaction' (6 cases, 15.0%). Most physicians were involved in family and sexual issues with medications, and simple counseling with reassurance. Simple counseling was given for 14 cases (21.0%) for family issues and 18 cases (44.0%) for sexual issues. The patients were treated with medications in 47 cases (70.0%) for sexual and 15 cases (38.0%) for family problems.

Conclusion : The most common issue for family problems was their partners and for sexual problems was 'sexually transmitted diseases'. Most family physicians were involved with both simple counseling and medications.
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