Hemminki E, Sihvo S, Forssas E, Koponen P, Kosunen E, Perälä M L
National Research and Development Centre for Welfare and Health, Health Services Research Unit, Helsinki, Finland.
Int J Qual Health Care. 1998 Feb;10(1):59-64. doi: 10.1093/intqhc/10.1.59.
Reproductive matters are common reasons to use health services, and both primary care providers (general practitioners and public health nurses) and specialists (gynaecologists) can be consulted. The purpose of this study was to find out how Finnish women think about and use specialist care in reproductive matters; gynaecological health checks, contraception, and prenatal care served as examples.
The data come from a questionnaire survey sent in 1994 to a representative sample (74% response rate) of 18-44-year-old Finnish women (n=2189).
Most (87%) women considered regular health checks by a gynaecologist important, and 55% had visited a gynaecologist regularly in the past 5 years. Healthier women and women having more education were more likely to visit gynaecologists regularly. Most women (86%) preferred a gynaecologist to a general practitioner for contraceptive matters, and 54% reported visiting one for their last contraceptive visit. Maternity centres with their public health nurses and general practitioners were the main source of prenatal care.
The results suggest the need to study the benefits of regular gynaecological health checks, and to define the best provider in common reproductive matters. Evaluation should include organizational impacts, such as those of the division of work between primary and secondary health care and small area population responsibility.
生殖方面的问题是人们使用医疗服务的常见原因，患者既可以咨询初级保健提供者（全科医生和公共卫生护士），也可以咨询专科医生（妇科医生）。本研究的目的是了解芬兰女性在生殖问题上如何看待和使用专科护理；以妇科健康检查、避孕和产前护理为例。
数据来自1994年对18至44岁芬兰女性的代表性样本进行的问卷调查（回复率为74%，n = 2189）。
大多数（87%）女性认为由妇科医生进行定期健康检查很重要，55%的女性在过去5年中定期拜访过妇科医生。健康状况更好和受教育程度更高的女性更有可能定期拜访妇科医生。大多数女性（86%）在避孕问题上更倾向于咨询妇科医生而非全科医生，54%的女性表示上次避孕咨询是找的妇科医生。配备公共卫生护士和全科医生的产妇护理中心是产前护理的主要来源。
结果表明有必要研究定期妇科健康检查的益处，并确定常见生殖问题的最佳护理提供者。评估应包括组织方面的影响，例如初级和二级医疗保健之间的分工以及小区域人口责任等方面的影响。
