Providing medical assistance to a woman
Imagine that in all cases when you need medical attention, no matter what your head or to head pain, no matter what your problems from the cradle to the grave, you go to the same doctor. This vision begins to take tangible forms; there is a new specialty doctors specializing in medical care for women. Many women doctors aspired to this, many women doctors who were sure that doctors treating women should have the knowledge and experience in providing primary health care in obstetrics, gynecology and psychiatry. A woman’s health, after all, depends not only on a healthy reproductive system.
“Obstetricians and gynecologists were mistakenly regarded as specialists in women's diseases in the broadest sense, because at the moment they only have a female clientele,” says University of California professor Karen Johnson.
“We should not forget that obstetrics and gynecology are mainly a surgical specialty,” she adds. Only a small number of future doctors receive fairly good training in women's health care, not related to their reproductive system. Therefore, an ordinary obstetrician-gynecologist knows little about hypertension, heart disease, pancreas, problems associated with diseases of the bladder, depression and sexuality. From this it is clear that they are not competent enough to be considered specialists in women's health in general.
For this reason, the American Women's Medical Association is developing the foundation for future education and training programs for general practitioners. ”
Dr. Johnson, together with Laurel Dawson, MD, a physician from San Francisco, in the Journal of the American Women's Medical Association for November-December 1990, gave a detailed study of the concept of specialty female doctor.
"At present, they note, a woman suffering from premenstrual syndrome has to visit three different specialists in connection with its different manifestations." The therapist for headaches, anxiety, weight gain, and other symptoms. Psychiatrist about depression, irritability, outbursts of anger and other problems of a psychological nature. At the same time, she can be treated by a gynecologist who prescribed her pills to prevent pregnancy or progesterone. “Each doctor treats part of the symptoms that together make up the whole complex, they say. However, they prescribe treatment independently, while coordinated action would be more effective. ” Many women have to get around several specialists before they are diagnosed and prescribed treatment.
“It is not surprising that the very idea of training broad-based specialists met with considerable resistance among physicians,” admits Dr. Johnson. “Every time you propose a change in the status quo, people resist,” she says. Moreover, a number of doctors who have already provided comprehensive medical care to women felt wounded and offended, as if we accused them of the low quality of the care they provided, which is not necessary. Resistance is also for financial reasons. If there are doctors specializing in treating women, who do you think women patients will turn to? ”