Hunskår S, Hannestad Y S, Backe B, Matheson I
Seksjon for allmennmedisin, Universitetet i Bergen.
Tidsskr Nor Laegeforen. 1994 Aug 10;114(18):2095-8.
In order to investigate the attitudes towards the prescription of hormone replacement therapy in menopausal and postmenopausal women, a questionnaire was mailed to two random samples of Norwegian general practitioners. The first sample (n = 340) was investigated in 1990, just before a national consensus conference on the use of oestrogens, the second (n = 240) one year after the conference. Nine short case stories were presented and the doctors indicated their attitudes to oestrogen prescribing in each case. Four items were systematically investigated: climacteric symptoms, smoking, risk of cardiovascular disease and osteoporosis. In general, a restrained attitude towards the prescribing of oestrogen was found. Smoking and a family history of cardiovascular disease reduced the willingness to prescribe. The doctors had more patients on oestrogen treatment in 1992 than in 1990. In general, the answers indicate a more liberal attitude to replacement therapy in 1992, but the pattern of willingness to prescribe remained unchanged. Female physicians showed greater willingness to prescribe oestrogen than their male colleagues did, and were more updated on contraindications.
为了调查绝经和绝经后女性对激素替代疗法处方的态度，向挪威全科医生的两个随机样本邮寄了一份问卷。第一个样本（n = 340）于1990年进行调查，就在关于雌激素使用的全国共识会议召开之前；第二个样本（n = 240）在会议召开一年后进行调查。呈现了九个简短的病例故事，医生们表明了他们对每个病例中雌激素处方的态度。系统地调查了四个项目：更年期症状、吸烟、心血管疾病风险和骨质疏松症。总体而言，发现对雌激素处方持谨慎态度。吸烟和心血管疾病家族史降低了开药的意愿。1992年接受雌激素治疗的患者比1990年更多。总体而言，答案表明1992年对替代疗法的态度更为宽松，但开药意愿的模式保持不变。女医生比男同事更愿意开雌激素，并且对禁忌症了解得更多。
