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患者和医生对1983年“药物恐慌”的反应。

Response of patients and doctors to the 1983 'pill scare'.

作者信息

Ritchie L D, Berkeley M I

出版信息

J R Coll Gen Pract. 1984 Nov;34(268):600-2.

PMID:6502568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1960061/
Abstract

The immediate response of patients and doctors to the recent adverse publicity about the combined oral contraceptive ;Pill' were studied in two separate locations: a major family planning clinic and a large provincial health centre. Consultations arising from anxiety about the Pill were less than the general practitioners had anticipated but extra sessions were required at the family planning clinic to cope with the increased demand. Differences in the responses of doctors were observed both within and between the two locations. Doctors at the family planning clinic were more likely to change the brand of Pill, whereas doctors at the health centre were more likely to offer reassurance only. The respective roles of primary care teams and family planning clinics in the provision of a comprehensive contraception service to the community are discussed.

摘要

在两个不同地点研究了患者和医生对近期有关复方口服避孕药(“避孕药丸”)的负面宣传的即时反应:一家大型计划生育诊所和一个大型省级医疗中心。因对避孕药丸的担忧而进行的咨询比全科医生预期的要少,但计划生育诊所需要额外安排诊疗时段来应对增加的需求。在两个地点内部以及之间都观察到了医生反应的差异。计划生育诊所的医生更有可能更换避孕药丸的品牌,而医疗中心的医生则更有可能仅提供安慰。讨论了初级保健团队和计划生育诊所在为社区提供全面避孕服务方面各自的作用。

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本文引用的文献

1
Response from women to adverse publicity about oral contraceptives.女性对口服避孕药负面宣传的反应。
J R Coll Gen Pract. 1984 Jun;34(263):334-5.
2
Feasibility of first trimester prenatal diagnosis of Hunter syndrome.孕早期产前诊断亨特综合征的可行性。
Lancet. 1983 Nov 12;2(8359):1147. doi: 10.1016/s0140-6736(83)90665-7.
3
Neoplasia of the cervix uteri and contraception: a possible adverse effect of the pill.子宫颈肿瘤与避孕:避孕药可能的不良影响。
Lancet. 1983 Oct 22;2(8356):930-4. doi: 10.1016/s0140-6736(83)90451-8.
4
Breast cancer in young women and use of oral contraceptives: possible modifying effect of formulation and age at use.年轻女性乳腺癌与口服避孕药的使用:制剂类型及开始使用年龄可能的调节作用
Lancet. 1983 Oct 22;2(8356):926-30. doi: 10.1016/s0140-6736(83)90450-6.
5
Antibiotic-induced neutropenia.抗生素诱导的中性粒细胞减少症。
Lancet. 1985 Dec 7;2(8467):1306-7. doi: 10.1016/s0140-6736(85)91591-0.