Lech M M, Swiatek E J
School of Public Health and Social Medicine, The Postgraduate Center of Medical Education, Warsaw, Poland.
Eur J Contracept Reprod Health Care. 2001 Mar;6(1):27-33.
We developed and performed a survey on practices of prescribing oral contraceptives in Poland. The survey was carried out in Warsaw, the capital city of Poland and one of the most important areas of the country (approximately 4 million inhabitants). The main aim of the study was to recognize the rationale and practices of prescribing oral contraceptives by gynecologists in Poland (oral contraceptives are prescribed mostly by gynecologists, not by general practitioners or midwives). The questions were sent to all members of Warsaw's Association of Gynecologists, but we have received back only 276 answers (79% of the total number of members) and the responses are presented here. The responses revealed that the most popular oral contraceptives are those modern formulations combining low doses of ethinylestradiol and progestogens such as norgestimate, desogestrel, gestodene and levonorgestrel. For gynecologists, the most important factors in the selection of an oral contraceptive were the dose of hormones (20.3%), the formulation (18.5%), tolerance by patients (23.5%) and past clinical experience with the formulation (9.4%). The price was most important for 3.7%, and good marketing practices were most important for 8.3% of the gynecologists.
我们开展并实施了一项关于波兰口服避孕药处方开具情况的调查。该调查在波兰首都华沙进行，华沙是该国最重要的地区之一（约有400万居民）。这项研究的主要目的是了解波兰妇科医生开具口服避孕药的基本原理和做法（口服避孕药大多由妇科医生开具，而非全科医生或助产士）。问卷被发送给了华沙妇科医生协会的所有成员，但我们仅收到了276份回复（占成员总数的79%），此处展示的是这些回复情况。回复显示，最受欢迎的口服避孕药是那些将低剂量炔雌醇与诺孕酯、去氧孕烯、孕二烯酮和左炔诺孕酮等孕激素相结合的现代配方制剂。对妇科医生而言，选择口服避孕药时最重要的因素是激素剂量（20.3%）、配方（18.5%）、患者耐受性（23.5%）以及过去使用该配方的临床经验（9.4%）。价格对3.7%的妇科医生最为重要，良好的营销手段对8.3%的妇科医生最为重要。
