Department of General Practice, Monash University, Melbourne, VIC.
Med J Aust. 2012 Jul 16;197(2):110-4. doi: 10.5694/mja11.11599.
To determine current contraceptive management by general practitioners in Australia.
DESIGN, SETTING AND PARTICIPANTS: Analysis of data from a random sample of 3910 Australian GPs who participated in the Bettering the Evaluation and Care of Health (BEACH) survey, a continuous cross-sectional survey of GP activity, between April 2007 and March 2011. Consultations with female patients aged 12-54 years that involved all forms of contraception were analysed.
GP and patient characteristics associated with the management of contraception; types of contraception used; rates of encounters involving emergency contraception.
Increased age, ethnicity, Indigenous status and holding a Commonwealth Health Care Card were significantly associated with low rates of encounters involving management of contraception. The combined oral contraceptive pill was the most frequently prescribed method of contraception, with moderate prescription of long-acting reversible contraception (LARC), especially among women aged 34-54 years. Rates of consultations concerned with emergency contraception were low, but involved high rates of counselling, advice or education (48%) compared with encounters for general contraception (> 20%).
A shift towards prescribing LARC, as recommended in clinical guidelines, has yet to occur in Australian general practice. Better understanding of patient and GP perspectives on contraceptive choices could lead to more effective contraceptive use.
确定澳大利亚全科医生目前的避孕管理方法。
设计、地点和参与者：对 2007 年 4 月至 2011 年 3 月期间参与“改善医疗保健评估与护理（BEACH）”调查的 3910 名澳大利亚全科医生的随机样本数据进行分析，该调查是一项针对全科医生活动的连续横断面调查。分析了涉及所有避孕形式的、年龄在 12-54 岁之间的女性患者的就诊情况。
与避孕管理相关的全科医生和患者特征；使用的避孕方法类型；涉及紧急避孕的就诊率。
年龄较大、族裔、土著身份和持有联邦医疗保险卡与避孕管理相关的就诊率较低显著相关。复方口服避孕药是最常开的避孕方法，长效可逆避孕（LARC）的处方率适中，尤其是年龄在 34-54 岁的女性。紧急避孕咨询的就诊率较低，但与一般避孕咨询相比（>20%），咨询、建议或教育的比例较高（48%）。
澳大利亚全科实践中尚未出现向临床指南推荐的 LARC 处方的转变。更好地了解患者和全科医生对避孕选择的看法，可能会导致更有效的避孕方法。
