Work Of Medical Professionals Research Articles

The role of sex therapists in treating erectile dysfunction: Working toward multidisciplinary treatment with physicians

Sex therapists use unique skills to assess and treat nonmedical factors that contribute to the causation or maintenance of erectile dysfunction. In addition to conducting thorough psychosocial evaluations, sex therapists elicit in-depth sex histories, assess possible patterns of maladaptive thoughts and behaviors, and evaluate potential relationship dynamics associated with erection problems. Sex therapists evaluate sociocultural influences, psychosexual trauma, sexual skills or techniques, emotional factors, psychological confiicts, performance anxiety, intimacy dysfunction, and sexual attitudes. The work of sex therapists should complement the work of medical professionals, leading to a multidisciplinary approach to the assessment and treatment of erectile dysfunction. Aside from understanding and appreciating this standard of care for erectile problems, sex therapists and physicians need to take active steps to build and nurture these collaborative relationships.

The effect of medical work groups on hospital resource use.

This study tests the ability of medical work groups to overcome coordination problems related to group decision-making in allocating clinical resources to inpatients. The study was conducted over a 32-month period in two medium-sized acute-care hospitals located in Montreal, Quebec, Canada. The data were collected by hand from the medical charts of 10,456 patients in the surgical and medical departments. The Linear Structural Relations (LISREL) approach was employed to address the work-group issue using a task contingent model of work-group organization. In this model, the nature of the task is fundamental because its level of complexity determines both the organization of the work group and the use of resources. Medical work-group mechanisms should be efficient to the extent that resource utilization is explained solely by task characteristics rather than by work-group structure. In this study, the following two major organizational concepts were used as factors to explain resource use: task characteristics and work-group characteristics. Our analysis confirmed the main points of the task contingency theory as applied to the field of medicine. First, the results confirm that resource utilization is explained mainly by task complexity. Second, they confirm that medical work groups modulate their structures on the basis of task characteristics and do not explain resource use. The results also reveal a more complex model in which, for instance, the concepts of medical task and medical professional work are not easy to separate. The results highlight the interest in conceptualizing and analysing medical practice in work groups. It raises important issues that have seldom been taken into account in the study of medical practice variations, which has tended to focus on attending physicians.

The Effect of Medical Work Groups on Hospital Resource use

This study tests the ability of medical work groups to overcome coordination problems related to group decision-making in allocating clinical resources to inpatients. The study was conducted over a 32-month period in two medium-sized acute-care hospitals located in Montreal, Quebec, Canada. The data were collected by hand from the medical charts of 10456 patients in the surgical and medical departments. The Linear Structural Relations (LISREL) approach was employed to address the work-group issue using a task contingent model of work-group organization. In this model, the nature of the task is fundamental because its level of complexity determines both the organization of the work group and the use of resources. Medical work-group mechanisms should be efficient to the extent that resource utilization is explained solely by task characteristics rather than by work-group structure. In this study, the following two major organizational concepts were used as factors to explain resource use: task characteristics and work-group characteristics. Our analysis confirmed the main points of the task contingency theory as applied to the field of medicine. First, the results confirm that resource utilization is explained mainly by task complexity. Second, they confirm that medical work groups modulate their structures on the basis of task characteristics and do not explain resource use. The results also reveal a more complex model in which, for instance, the concepts of medical task and medical professional work are not easy to separate. The results highlight the interest in conceptualizing and analysing medical practice in work groups. It raises important issues that have seldom been taken into account in the study of medical practice variations, which has tended to focus on attending physicians.

The changing role of the autopsy: A social environmental perspective

Over 1 the past decade, the declining autopsy rate has been the subject of much debate. Many articles in professional journals have explored both the cause of the decline as well as its desirability. Explanations for the declining rate of autopsies have typically been of two types, specifically “professional” and “technical”. The former implicate declining professional standards, while the latter point to the emergence of new diagnostic technologies as the cause of the lower autopsy rate. This paper argues that both of these explanations are better understood as two components of a larger explanation known as the “social environmental perspective”. Applied to the autopsy debate, the environmental perspective focuses on social, political, and economic forces that influence research hospitals and the different groups of people practicing within them. By placing the debate in a larger social framework, a more complete understanding of the declining autopsy rate may be reached. More important, it is hoped that the illumination of social processes affecting the work of medical professionals will encourage explicit discussions of those forces and possible ways of dealing with them.