Kelly Patricia J, Sable Marjorie R, Schwartz Lisa R, Lisbon Eleanor, Hall Matthew A
School of Nursing, University of Missouri-Kansas City, 2220 Holmes Street, Kansas City, MO 66103, USA.
Fam Med. 2008 Jan;40(1):40-5.
Our objective was to examine the intention of academic primary care physicians to educate women about emergency contraception (EC) and whether differences in their intention varies with patient situation, knowledge and attitudes about EC, gender, or specialty.
As part of a larger cross-sectional survey about intention to prescribe EC with 96 faculty physicians from one Southern and three Midwestern universities, we analyzed factors associated with intention to educate patients about EC. Physicians were from departments of family medicine, obstetrics-gynecology, and pediatrics.
The main outcome variable was intention to educate about EC. Attitudes and perceived peer expectations on educating about EC predicted physicians' intentions to provide EC education to their patients. Neither knowledge about EC nor physician demographics predicted intention to educate. Almost one in five respondents were reluctant to provide education to sexually active adolescents. Physicians who had high intention to educate were more likely than others to believe that educating about EC enhances a woman's reproductive options and that EC education reduces unintended pregnancy and abortion. Providers with low intention to educate were more likely to consider EC education to be inconvenient and to take too much clinic time.
To maximize training programs, physicians' attitudes, beliefs, and professional expectations should be examined when designing and initiating educational interventions.
我们的目标是调查学术性初级保健医生向女性提供紧急避孕（EC）教育的意愿，以及他们意愿的差异是否因患者情况、对紧急避孕的知识和态度、性别或专业而异。
作为一项关于开具紧急避孕药物意愿的更大规模横断面调查的一部分，我们对来自一所南方大学和三所中西部大学的96名教师医生进行了分析，以探讨与向患者提供紧急避孕教育意愿相关的因素。这些医生来自家庭医学、妇产科和儿科。
主要结果变量是提供紧急避孕教育的意愿。对紧急避孕教育的态度和感知到的同行期望预测了医生向患者提供紧急避孕教育的意愿。对紧急避孕的了解程度和医生的人口统计学特征均不能预测提供教育的意愿。近五分之一的受访者不愿为性活跃的青少年提供教育。意愿强烈的医生比其他人更有可能认为，紧急避孕教育能增加女性的生殖选择，且紧急避孕教育能减少意外怀孕和堕胎。意愿较低的提供者更有可能认为紧急避孕教育不方便，且会占用过多的门诊时间。
为了使培训项目达到最佳效果，在设计和开展教育干预措施时，应考察医生的态度、信念和职业期望。
