Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators
Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators
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DOI：
10.3122/jabfm.2013.06.120248
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发表时间：
2013-11-01
影响因子：
2.9
通讯作者：
Gold, Marji
中科院分区：
文献类型：
--
作者：
Herbitter, Cara;Bennett, Ariana;Gold, Marji
背景资料：生殖保健，包括治疗早孕失败和人工流产，是家庭医生提供的以病人为中心的护理的一个组成部分，但数据表明，家庭医生住院医生没有广泛获得全面的培训。本研究的目的是评估EPF和人工流产管理的做法和态度的家庭医学医生教育工作者在整个美国和加拿大。这些数据是作为学术家庭医学教育研究联盟理事会进行的横断面调查的一部分收集的，该调查通过E-邮寄给3152名家庭医学学术组织理事会的执业医师成员。结果：绝大多数受访者（88.2%）曾接受过EPF治疗，而很少有受访者（15.3%）曾提供过引产药物或吸入性流产。在接受过EPF治疗的患者中，大多数提供了药物治疗（72.7%），而少数提供了吸入治疗（16.4%）。几乎所有的受访者（95%）同意，EPF管理是在家庭医学的范围内，近四分之三（73.2%）同意，早期人工流产是在家庭Medicine.Conclusion范围内：我们的研究结果表明，家庭医生教育家更有经验的EPF管理比选择性流产。鉴于提供这些服务所需的技能重叠，有可能增加提供人工流产的家庭医生教员的人数。
Background: Reproductive health care, including treatment of early pregnancy failure (EPF) and induced abortion, is an integral part of patient-centered care provided by family physicians, but data suggest that comprehensive training is not widely available to family medicine residents. The purpose of this study was to assess EPF and induced abortion management practices and attitudes of family medicine physician educators throughout the United States and Canada.Methods: These data were collected as part of a cross-sectional survey conducted by the Council of Academic Family Medicine Educational Research Alliance that was distributed via E-mail to 3152 practicing physician members of Council of Academic Family Medicine organizations.Results: The vast majority of respondents (88.2%) had treated EPF, whereas few respondents (15.3%) had provided induced medication or aspiration abortions. Of those who had treated EPF, most had offered medication management (72.7%), whereas a minority had provided aspiration management (16.4%). Almost all respondents (95%) agreed that EPF management is within the scope of family medicine, and nearly three-quarters (73.2%) agreed that early induced abortion is within the scope of family medicine.Conclusion: Our findings suggest that family physician educators are more experienced with EPF management than elective abortion. Given the overlap of skills needed for provision of these services, there is the potential to increase the number of family physician faculty members providing induced abortions.