更年期与激素替代疗法：澳大利亚全科医生自我报告的意见、态度及行为
The menopause and hormone replacement therapy: Australian general practitioners' self-reported opinions, attitudes and behaviour.
作者信息
O'Connor V, Del Mar C, Sheehan M, Fox-Young S, Cragg C, Siskind V
机构信息
Department of Obstetrics and Gynaecology, University of Queensland, Mater Hospital, South Brisbane, Australia.
出版信息
Fam Pract. 1996 Oct;13(5):421-6. doi: 10.1093/fampra/13.5.421.
OBJECTIVES
We describe the attitude and views of general practitioners towards the menopause and hormone replacement therapy (HRT) in metropolitan Brisbane, Australia.
METHODS
A total of 216 general practitioners were nominated by a random sample of urband-welling women aged 45-54 years who formed the Brisbane Women's health study. A 20-30 minute face-to-face questionnaire with the general practitioners was administered and analysed by demographic characteristics.
RESULTS
There was a 93% response rate. Management of the menopause and HRT was routinely undertaken by general practitioners for their own patients. After deciding to initiate HRT, > 60% of general practitioners ordered five investigations or more. They may have confused the risk of thrombo-embolism from oestrogens used in the post-menopause with that for contraception. There were differences between male and female practitioners in some areas. Male general practitioners, in particular, reported more difficulty with tailoring and adjusting regimes.
CONCLUSIONS
Specific areas for further education are explored to meet the educational needs of general practitioners.
目的
我们描述了澳大利亚布里斯班大都市地区全科医生对更年期及激素替代疗法（HRT）的态度和观点。
方法
布里斯班女性健康研究中，随机抽取45 - 54岁城市居住女性样本，由她们提名了总共216名全科医生。对这些全科医生进行了一次20 - 30分钟的面对面问卷调查，并按人口统计学特征进行分析。
结果
回复率为93%。全科医生常规为自己的患者进行更年期及HRT的管理。在决定开始HRT后，超过60%的全科医生进行了五项或更多项检查。他们可能将绝经后使用雌激素的血栓栓塞风险与避孕的风险混淆了。在某些方面，男性和女性从业者存在差异。特别是男性全科医生报告在调整治疗方案方面更困难。
结论
探索了进一步教育的具体领域，以满足全科医生的教育需求。
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