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产前筛查与诊断:医疗服务提供者的知识与态度调查

Prenatal screening and diagnosis: a survey of health care providers' knowledge and attitudes.

作者信息

Rostant Kristie, Steed Lyndall, O'Leary Peter

机构信息

Genomics Directorate, Department of Health, Western Australia, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2003 Aug;43(4):307-11. doi: 10.1046/j.0004-8666.2003.00079.x.

DOI:10.1046/j.0004-8666.2003.00079.x
PMID:14714717
Abstract

AIM

To survey the knowledge and attitudes of health care providers in Western Australia, Australia towards prenatal screening and diagnostic procedures for fetal anomalies.

DESIGN

A self-administered mail survey.

SAMPLE

30 obstetricians and 313 general practitioners (GPs).

RESULTS

Overall, relative to GPs, obstetricians expressed more positive attitudes towards prenatal tests. Moreover, GPs felt they had a greater need for additional information. Further group differences were found in attitudes towards the value of the tests and confidence in the availability and ease of coordination of follow-up services according to geographical area. Female health care providers were significantly more confident about the availability of follow-up services and had higher knowledge scores. They were also more likely to practice in the metropolitan area. Further group differences were found in attitudes according to participation in professional development.

CONCLUSION

Overall, health care providers felt antenatal screening and diagnostic tests were valuable and they felt they could benefit from further information. Knowledge was high, however, it is unclear whether this knowledge is being communicated to women. Given that antenatal practices are rapidly evolving, continuing education and ongoing professional development is critical.

摘要

目的

调查澳大利亚西澳大利亚州医疗保健提供者对胎儿异常产前筛查和诊断程序的知识及态度。

设计

自行填写的邮寄调查问卷。

样本

30名产科医生和313名全科医生(GP)。

结果

总体而言,相对于全科医生,产科医生对产前检查表达了更积极的态度。此外,全科医生觉得他们更需要额外的信息。根据地理区域,在对检查价值的态度以及对后续服务可获得性和协调便利性的信心方面发现了进一步的群体差异。女性医疗保健提供者对后续服务的可获得性明显更有信心,且知识得分更高。她们也更有可能在大都市地区执业。根据参与专业发展情况,在态度方面也发现了进一步的群体差异。

结论

总体而言,医疗保健提供者认为产前筛查和诊断检查很有价值,并且觉得他们能从更多信息中受益。知识水平较高,然而,尚不清楚这些知识是否传达给了女性。鉴于产前实践正在迅速发展,持续教育和持续的专业发展至关重要。

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BMC Health Serv Res. 2008 May 28;8:114. doi: 10.1186/1472-6963-8-114.
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