寻求优质避孕方法的青少年：一项在普通诊所对标准化患者进行的研究。

Adolescents demanding a good contraceptive: a study with standardized patients in general practices.

作者信息

Peremans Lieve, Rethans Jan Joost, Verhoeven Veronique, Debaene Luc, Van Royen Paul, Denekens Joke

机构信息

Department of General Practice, University of Antwerp, 2610 Antwerpen-Wilrijk, Belgium.

出版信息

Contraception. 2005 Jun;71(6):421-5. doi: 10.1016/j.contraception.2004.12.007.

DOI:10.1016/j.contraception.2004.12.007

PMID:15914130

Abstract

To assess how Flemish general practitioners (GPs) are handling the first contraception consultation, we used standardized patients (SPs) as the best method to assess the performance of GPs in daily practice. Thirty GPs got a visit from one of the three SPs. Based on a validated checklist, the SPs scored the performance of GPs and they registered the circumstances and the duration of the consultation. Twenty-eight consultations were analyzed. General practitioners scored moderately on the content level of the consultation. Rarely, GPs asked about attitude regarding safe sex, took gynecological history or discussed contraindications. None of the GPs took a personal history to exclude pregnancy. The SPs received enough information about correct pill use, but there was minimal discussion on factors associated with pill intake and interactions with other medications. Few GPs (6/28) gave a prescription corresponding to the Flemish guidelines. The others were influenced by the pharmaceutical representatives. The girls felt, however, very satisfied with the consultation with the GPs.

摘要

为评估弗拉芒地区的全科医生（GP）如何处理首次避孕咨询，我们采用标准化患者（SP）作为评估全科医生日常诊疗表现的最佳方法。30名全科医生接待了三名标准化患者中的一位。标准化患者根据一份经验证的检查表对全科医生的表现进行评分，并记录咨询的情况和时长。对28次咨询进行了分析。全科医生在咨询的内容层面表现中等。全科医生很少询问安全性行为的态度、获取妇科病史或讨论禁忌症。没有一位全科医生了解个人史以排除怀孕情况。标准化患者获得了关于正确服用避孕药的足够信息，但关于与服药相关的因素以及与其他药物相互作用的讨论极少。少数全科医生（6/28）开具了符合弗拉芒地区指南的处方。其他医生受到了医药代表的影响。然而，这些女孩对与全科医生的咨询感到非常满意。