Hemminki E, Santalahti P, Toiviainen H
National Research and Development Center for Welfare and Health, University of Turku, Helsinki, Finland.
Acta Obstet Gynecol Scand. 1999 Feb;78(2):93-7.
The purpose of this survey was to find out whether Finnish physicians had thought about or had observed resource or organizational effects due to the offering of prenatal screening.
A mailed questionnaire survey sent in 1996-1997 in Finland to all leading Finnish obstetrician-gynecologists, to a random sample of obstetrician-gynecologists providing prenatal care, to general practitioners providing maternity care, and to other general practitioners. The number of respondents was 322 (response rate 70%).
Most physicians supported the screening programs currently in wide use in Finland (serum screening for Down's syndrome and ultrasound for malformations), and over a third wanted to introduce the two genetic carrier screenings asked about. Most thought Down's screening took up resources, but they did not consider this to be important. The impact of screening on public or customer images of prenatal care was not an important issue. Instead, a diversity of opinions was expressed on whether the increasing numbers of prenatal screenings require organizational changes in current prenatal care provided within primary care, or whether a shift to hospital clinics is necessary to achieve more specialized care.
Most physicians were not concerned by the potential organizational and resource implications of prenatal screening, and apparently they judge screening more from a health and individual patient point of view.
本次调查的目的是了解芬兰医生是否考虑过或观察到产前筛查带来的资源或组织方面的影响。
1996 - 1997年在芬兰向所有芬兰顶尖妇产科医生、提供产前护理的妇产科医生随机样本、提供孕产妇护理的全科医生以及其他全科医生邮寄问卷调查。受访者有322人（回复率70%）。
大多数医生支持芬兰目前广泛使用的筛查项目（唐氏综合征血清筛查和畸形超声检查），超过三分之一的医生希望引入所询问的两项基因携带者筛查。大多数人认为唐氏筛查占用资源，但他们认为这并不重要。筛查对产前护理的公众或客户形象的影响不是一个重要问题。相反，对于产前筛查数量的增加是否需要对初级保健中目前提供的产前护理进行组织变革，或者是否有必要转向医院诊所以获得更专业的护理，人们表达了各种各样的意见。
大多数医生并不担心产前筛查可能带来的组织和资源影响，显然他们更多地是从健康和个体患者的角度来评判筛查。
