Chaperones for rectal and genital examinations in the emergency department: what do patients and physicians want?

South Med J. 2008 Jan;101(1):24-8. doi: 10.1097/SMJ.0b013e31815d3df4.

Abstract

Background: The objective of this study was to compare patients' preferences and physicians' practice for the presence of chaperones during genitourinary examinations.

Methods: A survey of 163 emergency department patients and 52 physicians was used to evaluate patients' preferences and physicians' practices for the presence and gender of a chaperone during genital examinations.

Results: Most male patients (88%) did not care about the presence of a chaperone. Only 47% of female patients preferred a chaperone when a pelvic examination was to be performed by a male physician and only 26% preferred a chaperone with a female physician. One hundred percent of male and most female physicians (92%) used a chaperone for pelvic examinations. Most physicians do not ask patients whether they want a chaperone; however, most patients would like to be asked.

Conclusions: We conclude there is a discrepancy between what physicians do and what their patients desire.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Attitude*
  • Clinical Protocols
  • Digestive System Diseases / diagnosis
  • Emergency Service, Hospital
  • Ethics, Clinical
  • Female
  • Genital Diseases, Female / diagnosis
  • Genital Diseases, Male / diagnosis
  • Humans
  • Male
  • Middle Aged
  • Physical Examination / ethics
  • Physical Examination / trends*
  • Physician-Patient Relations* / ethics
  • Trust
  • Urologic Diseases / diagnosis