Health care providers' knowledge about contraceptive evidence: a barrier to quality family planning care?

被引:125
作者
Dehlendorf, Christine [1 ,2 ]
Levy, Kira [1 ]
Ruskin, Rachel [2 ]
Steinauer, Jody [2 ]
机构
[1] UCSF, Dept Family & Community Med, San Francisco, CA 94143 USA
[2] UCSF, Dept Obstet Gynecol & Reprod Sci, Bixby Ctr Global Hlth, San Francisco, CA 94143 USA
关键词
Contraception; Provider knowledge; Contraceptive counseling; Unintended pregnancy; NONFATAL VENOUS THROMBOEMBOLISM; INTRAUTERINE-DEVICES; ORAL-CONTRACEPTIVES; TRANSDERMAL PATCH; ETHINYL ESTRADIOL; OF-CARE; RISK; WOMEN; NORGESTIMATE; CHALLENGES;
D O I
10.1016/j.contraception.2009.11.006
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: The underuse of effective contraceptive methods by women at risk for unintended pregnancy is a major factor contributing to the high rate of unintended pregnancy in the United States. As health care providers are important contributors to women's contraceptive use, this study was conducted to assess provider knowledge about contraception. Study Design: Bivariate and multivariate analyses were performed using data collected from a convenience sample of health care providers (physicians, nurse practitioners and physician assistants) at meetings of the professional societies of family medicine and obstetrics and gynecology. Results: Younger providers were more knowledgeable, as were obstetrician/gynecologists, female providers and providers who provide intrauterine contraception in their practice. Conclusions: The lack of consistent and accurate knowledge about contraception among providers has the potential to dramatically affect providers' ability to provide quality contraceptive care for their patients, which could have an impact on their ability to prevent unintended pregnancies. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:292 / 298
页数:7
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