Penney G C, Templeton A
Department of Obstetrics and Gynaecology, Maternity Hospital, Aberdeen, Scotland.
Br J Obstet Gynaecol. 1994 Jun;101(6):523-8. doi: 10.1111/j.1471-0528.1994.tb13155.x.
To obtain an overview of current abortion practice in Scotland for comparison with agreed criteria for good quality care based on literature review.
Postal questionnaire survey.
All 132 consultant gynaecologists practising in the NHS in Scotland.
Response rate 92%. The survey revealed regional inequalities in the availability of services, particularly with regard to early medical abortion and second trimester procedures. It also revealed great individual variations in many areas of practice notably in screening for genital tract infection, the use of cervical predilatation, contraceptive provision, and follow up. Several aspects of practice compared poorly with the agreed criteria for good quality care.
The postal questionnaire approach achieved a good response rate and has provided an informative overview of current practice on a national basis. Variations in the provision of services and in clinical practice, both among regions and among individual consultants, have been identified. Elements of abortion care in which great variations exist and in which current practice compares poorly with the agreed criteria have been highlighted as appropriate areas for the development of national guidelines and for educational initiatives. Such a questionnaire approach to assessing current practice can complement, and possibly replace, some aspects of casenote review audit.
通过文献综述，全面了解苏格兰目前的堕胎手术情况，以便与公认的优质护理标准进行比较。
邮寄问卷调查。
在苏格兰国民保健服务体系（NHS）执业的所有132名妇科顾问医生。
回复率为92%。调查显示，服务可及性存在地区差异，尤其是早期药物流产和孕中期手术方面。调查还显示，在许多执业领域存在很大的个体差异，特别是在生殖道感染筛查、宫颈预扩张的使用、避孕措施提供及随访方面。与公认的优质护理标准相比，若干执业方面存在不足。
邮寄问卷调查方式获得了较高的回复率，并在全国范围内提供了有关当前执业情况的有益概述。已确定了地区之间以及个别顾问医生之间在服务提供和临床执业方面的差异。堕胎护理中存在较大差异且当前执业情况与公认标准相比欠佳的方面，已被确定为制定国家指南和开展教育举措的适当领域。这种评估当前执业情况的问卷调查方式可以补充并可能取代病例记录审查审计的某些方面。
