Kooiker C H, Scutchfield F D
Planned Parenthood of San Diego, CA.
West J Med. 1990 Sep;153(3):279-82.
From a questionnaire sent to all obstetricians and gynecologists and all family and general practitioners in San Diego County, California, regarding the Copper T 380A intrauterine device, substantial barriers to prescribing it were identified. Of all physicians responding, 40% reported that they were not recommending the Copper T 380A to anyone, the single most common reason given being concern about medical liability. A lack of knowledge about the new device, a lack of intrauterine device insertion skills, and certain medical practice settings were also important barriers to prescribing it. The new intrauterine device is considered in the context of innovation-diffusion theory. Substantial amounts of education and training and improvement in the medical-legal climate are needed before current barriers to prescribing the new device are removed.
通过向加利福尼亚州圣地亚哥县的所有妇产科医生以及所有家庭医生和全科医生发送一份关于铜T 380A宫内节育器的调查问卷，发现了开这种节育器存在的重大障碍。在所有回复的医生中，40%报告称他们不向任何人推荐铜T 380A，给出的最常见单一原因是担心医疗责任。对这种新器械缺乏了解、缺乏宫内节育器插入技能以及某些医疗执业环境也是开这种节育器的重要障碍。从创新传播理论的角度来考虑这种新型宫内节育器。在消除目前开这种新器械存在的障碍之前，需要大量的教育、培训以及改善医疗法律环境。
