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绝经准备:患者、医护人员和政策制定者考虑的视角。

Menopause preparedness: perspectives for patient, provider, and policymaker consideration.

机构信息

Society for Women's Health Research, Washington, DC.

出版信息

Menopause. 2021 Jun 28;28(10):1186-1191. doi: 10.1097/GME.0000000000001819.

DOI:10.1097/GME.0000000000001819
PMID:34183564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8462440/
Abstract

OBJECTIVE

The aim of the study was to identify priorities to address unmet needs in clinical care, education, and access to treatment to improve quality of life for individuals during the menopause transition.

METHODS

The Society for Women's Health Research convened a working group of 13 experts to discuss updates in research, clinical practice, and policy on menopause. Participants included patient advocates, policy leaders, and clinical specialists and researchers from gynecology, reproductive endocrinology, psychiatry, and epidemiology. Overarching themes and recommendations for improving menopause care were identified and determined by consensus agreement of the participants at the conclusion of the meeting.

RESULTS

The Society for Women's Health Research Menopause Working Group identified gaps in clinical care, policy, and patient and provider education. Limited understanding of menopause by patients and clinicians contributes to delays in recognizing the menopause transition and engaging in symptom management. Recent studies on hormone therapy and alternative treatment options provide evidence to inform updates on existing policy recommendations and coverage.

CONCLUSIONS

To improve care and quality of life for individuals during the menopause transition and after menopause, the working group recommends developing a more standardized approach to menopause preparedness that includes education for both patients and providers, as well as considering policy solutions to address regulatory barriers to care. Providers also need to factor in the diverse needs of individuals experiencing menopause in the development of their personalized care.

摘要

目的

本研究旨在确定优先事项,以解决临床护理、教育和治疗可及性方面未满足的需求,从而改善处于绝经过渡期个体的生活质量。

方法

妇女健康研究学会召集了一个由 13 名专家组成的工作组,讨论绝经领域的研究、临床实践和政策更新。与会者包括患者权益倡导者、政策领导以及来自妇科、生殖内分泌学、精神病学和流行病学领域的临床专家和研究人员。在会议结束时,通过与会者的共识确定了改善绝经护理的总体主题和建议。

结果

妇女健康研究学会绝经工作组发现临床护理、政策以及患者和提供者教育方面存在差距。患者和临床医生对绝经的认识有限,导致对绝经过渡期的识别和症状管理延迟。近期关于激素治疗和替代治疗选择的研究为更新现有政策建议和覆盖范围提供了证据。

结论

为了改善绝经过渡期和绝经后个体的护理和生活质量,工作组建议制定更标准化的绝经准备方法,包括对患者和提供者进行教育,并考虑解决监管障碍以改善护理的政策解决方案。在制定个性化护理计划时,提供者还需要考虑到不同经历绝经的个体的多样化需求。

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