University of Pittsburgh, Pittsburgh, PA 15213, USA.
Contraception. 2013 Feb;87(2):242-50. doi: 10.1016/j.contraception.2012.07.003. Epub 2012 Aug 24.
We evaluated whether computerized counseling about contraceptive options and screening for contraindications increased women's subsequent knowledge and use of hormonal contraception.
For the study 814 women aged 18-45 years were recruited from the waiting rooms of three emergency departments and an urgent care clinic staffed by non-gynecologists and asked to use a randomly selected computer module before seeing a clinician.
Women in the intervention group were more likely to report receiving a contraceptive prescription when seeking acute care than women in the control group (16% vs. 1%, p=.001). Women who requested contraceptive refills were not less likely than women requesting new prescriptions to have potential contraindications to estrogen (75% of refills vs. 52% new, p=.23). Three months after visiting the clinic, women in the intervention group tended to be more likely to have used contraception at last intercourse (71% vs. 65%, p=.91) and to correctly answer questions about contraceptive effectiveness, but these differences were not statistically significant.
Patient-facing computers appear to increase access to prescription contraception for women seeking acute care.
我们评估了关于避孕选择的计算机咨询和避孕禁忌筛查是否会增加女性随后对激素避孕的了解和使用。
在这项研究中，从三家急诊室的候诊室和一家由非妇科医生提供服务的紧急护理诊所招募了 814 名 18-45 岁的女性，并要求她们在看医生之前使用随机选择的计算机模块。
与对照组相比，干预组的女性在寻求急性护理时更有可能报告收到避孕处方（16%比 1%，p=0.001）。与新处方相比，要求避孕药具续开的女性不太可能对雌激素有潜在禁忌（续开 75%，新处方 52%，p=0.23）。在就诊后 3 个月，干预组的女性更有可能在最后一次性交时使用了避孕措施（71%比 65%，p=0.91），并且正确回答了关于避孕效果的问题，但这些差异没有统计学意义。
面向患者的计算机似乎增加了寻求急性护理的女性获得处方避孕药具的机会。
