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Australian Family Physician
Australian Family Physician

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Volume 38, Issue 8, August 2009

GP management of erectile dysfunction The impact of clinical audit and guidelines

Caroline Giles Catherine N Kirby Leon Piterman
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Background
This study evaluated a clinical audit and evidence based practice guide designed to improve general practitioners’ assessment and management of erectile dysfunction.
Results

General practitioners reported several significant improvements across the audit period:

  • GP initiated discussions about erectile dysfunction with ‘at risk’ patients nearly doubled
  • an 18% increase in psychological history taking with ‘at risk’ patients
  • a 19% increase in assessment of current erectile dysfunction patients’ needs and preferences for treatment
  • decreased specialist referrals
  • increased provision of phosphodiesterase inhibitor samples.
Conclusion
This clinical audit and practice guide was developed specifically and uniquely for GPs in Australia. Findings provide some support for the combined use of the clinical audit and practice guide to elicit positive changes in erectile dysfunction assessment and management.

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