title: [Prescribing of sildenafil by national insurance program physicians. What basic sexual medicine qualification is required?].
abstract: The role of sildenafil in the treatment of erectile dysfunction is discussed. Especially in primary care there is a necessity to weigh the individual cost-benefit-ratio. Functional analysis of erectile dysfunction, exclusion of psychiatric and organic comorbidity, identification of sexual deviance and couple counseling about the advantages and disadvantages of sildenafil prescription are the core prerequisites of sildenafil application in primary care. The counseling model of PLIS-SIT is proposed as a guideline for counseling process. Current approaches of education for general practitioners are reviewed and the integration in a recently developed training for management of psychiatry and psychosomatic illness in general medical settings is proposed. Finally open questions for research and quality management are discussed.
authors.affiliation: Abteilung für Psychiatrie und Psychotherapie der Universitätsklinik Freiburg.
authors.forename: R
authors.initials: R
authors.lastname: Vauth
authors.forename: M
authors.initials: M
authors.lastname: Berner
authors.forename: U
authors.initials: U
authors.lastname: Wetterauer
authors.forename: M
authors.initials: M
authors.lastname: Berger
mesh_terms: D003362:Cost-Benefit Analysis; D007172:Erectile Dysfunction / Q000188:drug therapy* / Q000191:economics / Q000209:etiology; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D009313:National Health Programs / Q000191:economics; D010348:Patient Care Team / Q000191:economics; D010726:Phosphodiesterase Inhibitors / Q000009:adverse effects / Q000191:economics / Q000627:therapeutic use*; D010879:Piperazines / Q000009:adverse effects / Q000191:economics / Q000627:therapeutic use*; D011320:Primary Health Care; D011687:Purines; D012731:Sex Counseling / Q000191:economics; D000068677:Sildenafil Citrate; D013450:Sulfones
chemical_list: D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate
vernacular_title: Kassenärztliche Verordnung von Sildenafil. Welche sexualmedizinische Basisqualifikation ist zu fordern?