Dunne F P, Sadler G J, Crampton J A
Diabetes Resource Centre, University Hospital Birmingham NHS Trust, UK.
Int J Clin Pract. 1998 Jul-Aug;52(5):285-8.
Recent statistics suggest hormone replacement therapy (HRT) is prescribed by only a small number of general practitioners (GPs), despite its use being widely discussed and advocated in the literature. In March 1997, we sent a questionnaire to 200 randomly selected practices in the south Birmingham area to try to find the reason. Eighty-one (40.5%) completed questionnaires were returned from 57 (70%) male and 24 (30%) female GPs respectively. Seventy (86.4%) claimed they actively prescribed HRT as a prophylaxis for osteoporosis; 76% felt doctors were well informed about the risks and benefits of HRT. However, male and female GP opinions differed as to the most effective duration of HRT use. Comparison of the ethnic backgrounds of male prescribers and non-prescribers revealed significant differences, and the ethnic group predominating in the catchment areas of prescribers and non-prescribers was also different.
最近的统计数据表明，尽管激素替代疗法（HRT）在文献中被广泛讨论和提倡，但只有少数全科医生（GP）会开这种药。1997年3月，我们向伯明翰南部地区随机挑选的200家诊所发送了一份调查问卷，试图找出原因。分别从57名（70%）男性全科医生和24名（30%）女性全科医生那里收到了81份（40.5%）已完成的调查问卷。70名（86.4%）声称他们积极开HRT作为骨质疏松症的预防药；76%的人认为医生对HRT的风险和益处有充分了解。然而，在HRT使用的最有效时长方面，男性和女性全科医生的意见存在差异。对开处方者和不开处方者的种族背景进行比较，发现存在显著差异，开处方者和不开处方者所在集水区占主导地位的种族群体也不同。
