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对英国全科医生进行在线调查和访谈,评估他们对医学培训课程和 NICE 绝经管理指南的满意度。

An online survey and interview of GPs in the UK for assessing their satisfaction regarding the medical training curriculum and NICE guidelines for the management of menopause.

机构信息

RU Medical Ltd., London, UK.

Department of Biomedical Engineering and Imaging Sciences, 4616King's College London, London, UK.

出版信息

Post Reprod Health. 2022 Sep;28(3):137-141. doi: 10.1177/20533691221106011. Epub 2022 May 31.

Abstract

BACKGROUND

The UK is home to 13 million menopausal women. The aim of this study was to determine the views of GPs on their levels of confidence and comfort when advising or treating menopausal women and assess the need for further training.

METHOD

An anonymous online questionnaire was sent out to GPs working within the NHS across the UK between January 2021 and March 2021. The questionnaire was circulated via GP e-mail lists, Facebook, and LinkedIn, and included an option for respondents to volunteer for a semi-structured interview.

RESULTS

The questionnaire had 173 responses. 52% of GPs indicated that they were not offered enough support to be able to advise and treat women with menopausal symptoms appropriately. 77.5% of GPs expressed that there is a need to improve training provided on menopause in medical school and GP training. 60.7% of GPs felt comfortable managing menopausal women and offering them management options. 22.5% of the respondents felt that the NICE guidelines are easy and clear guidance for clinical practice. Five GPs were further interviewed, and the analysis of the responses showed the perceived need by the GPs for improvements in medical training regarding menopause.

CONCLUSION

There is a need for better support and medical training for GPs to help them advice and treat women with menopausal symptoms. This is key for ensuring that every woman in the UK feels supported in their journey during the menopausal transition and is offered evidence-based advice to help them make informed decisions.

摘要

背景

英国有 1300 万处于绝经期的女性。本研究旨在了解全科医生在为绝经期女性提供咨询和治疗方面的自信程度和舒适度,并评估他们进一步培训的需求。

方法

2021 年 1 月至 2021 年 3 月期间,我们向英国国民保健制度内的全科医生发送了一份匿名在线问卷。问卷通过全科医生的电子邮件列表、脸书和领英进行分发,并为愿意参加半结构化访谈的受访者提供了选项。

结果

该问卷收到了 173 份回复。52%的全科医生表示,他们没有得到足够的支持,无法为有绝经期症状的女性提供适当的咨询和治疗。77.5%的全科医生表示,需要改进医学院和全科医生培训中提供的绝经培训。60.7%的全科医生对管理绝经期女性并为其提供管理方案感到舒适。22.5%的受访者认为 NICE 指南是临床实践的明确和清晰的指导。对 5 名全科医生进行了进一步访谈,对受访者的回应进行分析后发现,全科医生认为需要改进医学培训,以更好地管理女性的更年期问题。

结论

需要为全科医生提供更好的支持和医学培训,以帮助他们为有绝经期症状的女性提供咨询和治疗。这对于确保英国的每一位女性在绝经期过渡期间都能得到支持,并为她们提供循证建议以帮助她们做出明智的决策至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15a9/9500171/2ceeefd78d57/10.1177_20533691221106011-fig1.jpg

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