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1999 rerun of the 1996 German Urinary Incontinence Survey: will doctors ever ask?
A Welz-Barth1, I Füsgen, H J Melchior
13. Med. Klinik der Kliniken St. Antonius, Lehrstuhl für Geriatrie der Universität Witten-Herdecke, Velbert, Germany.
World Journal of Urology
|February 24, 2001
Summary
Despite awareness campaigns, German doctors are less likely to discuss urinary incontinence with older patients. This trend may stem from financial pressures and policy maker unawareness, delaying patient care.
Area of Science:
- Urology
- Public Health
- Health Policy
Background:
- Urinary incontinence affects a significant portion of the over-50 population.
- Awareness and medical education campaigns have been conducted in Germany.
- Previous studies indicated a need for improved physician engagement with incontinence patients.
Purpose of the Study:
- To compare physician attitudes and practices regarding urinary incontinence between 1996 and 1999.
- To identify trends in addressing this sensitive health issue among German physicians.
- To explore potential reasons for observed changes in physician behavior.
Main Methods:
- Epidemiologic surveys were conducted in 1996 and 1999.
- The surveys involved a large cohort of patients aged over 50 years.
- Data from 6,607 patients in 1996 and 6,481 patients in 1999 were compared.
Main Results:
- Physicians were less likely to address urinary incontinence in 1999 compared to 1996.
- This decline in discussion suggests a worsening of care for incontinent patients.
- A significant portion of older patients may be receiving suboptimal care due to this issue.
Conclusions:
- Physician reluctance to discuss urinary incontinence has increased in Germany.
- Financial constraints on physicians and lack of policy maker awareness are potential contributing factors.
- Urgent interventions are needed to improve physician engagement and patient care for urinary incontinence.
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