Women's Health Research Program, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Climacteric. 2021 Dec;24(6):612-617. doi: 10.1080/13697137.2021.1936486. Epub 2021 Jul 9.
This study aimed to explore Australian health-care providers' knowledge of menopause and its consequences, and their views about menopause-related health care.
This was a cross-sectional qualitative study of Australian general practitioners (GPs), gynecologists (GYs) and pharmacists (PHs). Recruitment was ultimately achieved through professional networks and cold calling.
There were equal numbers of GPs, GYs and PHs, and equal numbers of males and females in each group. All participants demonstrated sound understanding of menopause and its consequences. A strong theme was recognition of high usage of complementary and alternative medicines (CAMs) by women for menopausal symptoms. Most participants highlighted lack of efficacy evidence for most CAMs, but the majority of GPs and PHs considered CAMs to 'have a role'. Most supported menopausal hormone therapy (MHT) when symptoms impaired quality of life. Limitations to comprehensive care included knowledge gaps and lack of time.
Australian health-care providers appeared knowledgeable about menopause, but uncertain about its management. MHT prescription appeared limited to women with severe symptoms despite lifestyle modification and a trial of CAMs. The upskilling of clinicians providing care for women at midlife, with respect to the indications for and prescribing of MHT, urgently needs to be addressed.
本研究旨在探讨澳大利亚医疗保健提供者对更年期及其后果的了解，以及他们对与更年期相关的医疗保健的看法。
这是一项对澳大利亚全科医生（GP）、妇科医生（GY）和药剂师（PH）的横断面定性研究。最终通过专业网络和冷电话招募了参与者。
GP、GY 和 PH 的数量相等，每组的男性和女性数量也相等。所有参与者对更年期及其后果都有很好的理解。一个强烈的主题是认识到女性对更年期症状使用补充和替代药物（CAM）的高使用率。大多数参与者强调大多数 CAM 的疗效证据不足，但大多数 GP 和 PH 认为 CAM“有作用”。大多数人支持对生活质量受损的症状进行更年期激素治疗（MHT）。全面护理的局限性包括知识差距和缺乏时间。
澳大利亚医疗保健提供者对更年期似乎有一定的了解，但对其管理不确定。尽管进行了生活方式的改变和 CAM 的试验，但 MHT 的处方似乎仅限于有严重症状的妇女。迫切需要提高为中年妇女提供护理的临床医生的技能，包括 MHT 的适应症和处方。
