Cohen Donna, Coco Andrew
Research Institute, Department of Family and Community Medicine, Lancaster General Hospital, Lancaster, PA 17604, USA.
Fam Med. 2011 Mar;43(3):166-71.
Family medicine has experienced variations in scope and comprehensiveness of care in recent years. To investigate whether these changes in practice have impacted women's health services, we measured trends in the proportion of preventive women's health visits provided by family physicians nationally.
We analyzed the National Ambulatory Medical Care Survey to identify the trend in the proportion of preventive women's health visits to family physicians and obstetrician-gynecologists and others between 1995 to 2007.
A total of 6,088 sample records were included in the study, representing 239 million preventive women's health visits. The percentage of preventive women's health visits provided by family physicians remained stable over the 12-year study period from 18.6% in 1995-1996 to 20.3% in 2007. Family physicians provided care for 28% of total preventive women's health visits occurring in non-metropolitan statistical areas.
Family physicians provided a stable amount of preventive women's health services between 1995 and 2007. Family medicine should continue to foster comprehensive residency training in preventive women's health care and inclusion of such services in future scope of practice.
近年来，家庭医学在医疗服务的范围和全面性方面发生了变化。为了调查这些实践中的变化是否对女性健康服务产生了影响，我们衡量了全国范围内家庭医生提供预防性女性健康检查的比例趋势。
我们分析了国家门诊医疗调查，以确定1995年至2007年间家庭医生、妇产科医生及其他医生提供预防性女性健康检查的比例趋势。
该研究共纳入6088份样本记录，代表了2.39亿次预防性女性健康检查。在为期12年的研究期间，家庭医生提供的预防性女性健康检查比例保持稳定，从1995 - 1996年的18.6%升至2007年的20.3%。在非大都市统计区发生的所有预防性女性健康检查中，28%由家庭医生提供。
1995年至2007年间，家庭医生提供的预防性女性健康服务数量保持稳定。家庭医学应继续加强预防性女性医疗保健方面的全面住院医师培训，并将此类服务纳入未来的执业范围。
