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Young men & the GP: a shared anxiety?

July 2012. Young men & the GP: a shared anxiety? . Dr Matthew Booker NIHR Academic Clinical Fellow in General Practice Honorary Senior Lecturer in Medical Education School of Social & Community Medicine. Name of Presentation. 28 September 2011.

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Young men & the GP: a shared anxiety?

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  1. July 2012 Young men & the GP: a shared anxiety? • Dr Matthew Booker • NIHR Academic Clinical Fellow in General Practice • Honorary Senior Lecturer in Medical Education • School of Social & Community Medicine

  2. Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Some comments from young men about access to GP appointments – interesting? “Access to appointments seems OK, but not sure I would know why I want one?” Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam. “Seems fine. I’m not someone who needs the doctors though, so bit tricky to comment”

  3. Name of Presentation 28 September 2011 What have these people done for Men’s relationship with their GP? Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  4. Name of Presentation 28 September 2011 How does the role/perception of men (particularly young men) in the family affect consulting behaviour? Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  5. Name of Presentation 28 September 2011 “Its all about cancer these days.” Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. “Sooner or later, the more times you go, you are going to hear something you don’t want to.” Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam. “He’s a nice enough chap, but he doesn’t half hark on about the negativity” “Its all about risk. ‘Your risk of this problem.... Your risk of that problem.’ I don’t generally like taking risks!”

  6. Name of Presentation 28 September 2011 Why do young men attend their GP? Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  7. Name of Presentation 28 September 2011 Why do young men say they attend their GP? Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  8. Name of Presentation 28 September 2011 If we compare a selection of consultations, there are differences…. why? Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Consultation code Self-reported Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  9. Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Drugs Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  10. Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Testicular disease as a ‘case study’ Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  11. Is testicular cancer actually such a headache? Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. • Less than 1% of all cancers • Incidences of approx 2k mark Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  12. Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  13. Young Male’s GP Attendance Rates for Chronic Medical Problems Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  14. Name of Presentation 28 September 2011 Anxiety -vs- benefit Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. • Anxiety about testicular tends to be highest in the least informed and the youngest (Dray, 2011)(i.e. ignorance is NOT bliss on this one….) • Have we come full circle in raising awareness to suppressing anxiety? (eg Casey et al, 2010)(i.e. has publicity and awareness made people needless worriers?) Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  15. Name of Presentation 28 September 2011 Should we ask the question? Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. • Do you perform testicular self examination? • But then, if I ask that question to all men, what other questions should I ask all men to pick up serious or less common diseases? • Are you breathless in the pollen season? • Do you ride a motorcycle in the rain? • Do you use a band-saw without glasses???? Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  16. Name of Presentation 28 September 2011 The ‘problem’ & the ‘problem’ culture Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. • Young men feel GPs are there only to focus on problems and immediate needs • No ‘in road’ to the surgery, unlike young women (who have cervical screening, family planning etc etc…) • Young men sonsistently rate access to GPs as more difficult than young women in exactly the same circumstances • “Derrick’s abandonment quotient” • The context is a barrier… seeing the GP admits ‘illness’ Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  17. Name of Presentation 28 September 2011 Primary Care in diverse environments Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. • Need to start to get GPs into other environments, to normalise the interaction (particularly with young men) • Schools, colleges, secure environments • ?Sports clubs • Out of context, but none the less plausible environments – shopping centres? • Some slightly more boundary pushing environments Church groups, working with other agencies Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  18. Name of Presentation 28 September 2011 • Responses to ECM“GPs are central the successful transition of self-actuated responsibility for healthy living that takes place from childhood to adulthood” • HfAC“At 12-13 years... Integration with primary health care services in the transition to adolescent health... And in the monitoring of pubertal physical and emotional development” “At 14-15years, GP services should be promoted (along with ‘health shops’ and young peoples’ clinics) in the context of self-management, healthy lifestyle promotion and the maintenance of disease free living” Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  19. Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. The future... • Steering away from just ‘problems’ • Linking the GP as a person with other education contexts • Forging links with support services • Finding ‘in roads’ for men, particularly young men • Pushing the collective consciousness Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

  20. Name of Presentation 28 September 2011 Ovit a ped ut et harumqui te et que non pre sent. Ficimus apid modi blam sinvele ssiminvenda dolore il etur, uta dolorib pist. matthewbooker@nhs.net Et pliqui te por audipic imporatio everum es vel ideribusant, comnis estinvendit volori ditati ipsam num volo de volupta sinvelibea conseditem ipsam.

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