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Provision of contraception: a survey among primary care physicians in Finland
Abstract Objective. To investigate self-reported practices of contraceptive provision among primary care physicians. Design. A cross-sectional questionnaire study. Setting. All community health centers (n = 63) in an university hospital area in Western Finland. Sample and methods. A total of 122 hea...
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| Published in: | Acta obstetricia et gynecologica Scandinavica 2010-05, Vol.89 (5), p.636-645 |
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| container_end_page | 645 |
| container_issue | 5 |
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| container_title | Acta obstetricia et gynecologica Scandinavica |
| container_volume | 89 |
| creator | Sannisto, Tuire Kosunen, Elise |
| description | Abstract
Objective. To investigate self-reported practices of contraceptive provision among primary care physicians. Design. A cross-sectional questionnaire study. Setting. All community health centers (n = 63) in an university hospital area in Western Finland. Sample and methods. A total of 122 health center physicians involved in contraceptive counseling (CC) were invited to participate in self-administered survey. Data were obtained on initiation of contraceptive methods and the limits and contraindications applied when prescribing combined hormonal contraception (CHC), and they were assessed against Finnish and WHO guidelines. Main outcome measures. Distribution of initiated contraceptive methods and of examinations and tests included, application of limits and contraindications in relation to age, smoking, body mass index or weight, blood pressure (BP) and migraine with aura when prescribing CHC (combined oral contraceptives (COCs), vaginal ring and contraceptive patch). Results. Responded physicians (n = 83.68%) said they most frequently prescribed the COC pill. Progestin-only pills, levonorgestrel-releasing intrauterine system and copper-releasing intrauterine device were also provided regularly. Most of the respondents routinely took numerous examinations and tests when initiating contraception, including also unnecessary ones. There were gaps in their knowledge about the limits and contraindications for CHC. For example, 41% of the respondents did not recognize migraine with aura as a contraindication and only 19% reported applying the recommended BP limit of 140/90 mmHg. Conclusions. The range of contraceptives available and examinations and tests offered were comprehensive. However, the inadequate procedures regarding assessment of contraindications for CHC suggests that updating CC practices is challenging in primary care. |
| doi_str_mv | 10.3109/00016341003650020 |
| format | article |
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Objective. To investigate self-reported practices of contraceptive provision among primary care physicians. Design. A cross-sectional questionnaire study. Setting. All community health centers (n = 63) in an university hospital area in Western Finland. Sample and methods. A total of 122 health center physicians involved in contraceptive counseling (CC) were invited to participate in self-administered survey. Data were obtained on initiation of contraceptive methods and the limits and contraindications applied when prescribing combined hormonal contraception (CHC), and they were assessed against Finnish and WHO guidelines. Main outcome measures. Distribution of initiated contraceptive methods and of examinations and tests included, application of limits and contraindications in relation to age, smoking, body mass index or weight, blood pressure (BP) and migraine with aura when prescribing CHC (combined oral contraceptives (COCs), vaginal ring and contraceptive patch). Results. Responded physicians (n = 83.68%) said they most frequently prescribed the COC pill. Progestin-only pills, levonorgestrel-releasing intrauterine system and copper-releasing intrauterine device were also provided regularly. Most of the respondents routinely took numerous examinations and tests when initiating contraception, including also unnecessary ones. There were gaps in their knowledge about the limits and contraindications for CHC. For example, 41% of the respondents did not recognize migraine with aura as a contraindication and only 19% reported applying the recommended BP limit of 140/90 mmHg. Conclusions. The range of contraceptives available and examinations and tests offered were comprehensive. However, the inadequate procedures regarding assessment of contraindications for CHC suggests that updating CC practices is challenging in primary care.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.3109/00016341003650020</identifier><identifier>PMID: 20423277</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>Adult ; Age Factors ; Aged ; Attitude of Health Personnel ; Biological and medical sciences ; Chi-Square Distribution ; Contraception - standards ; Contraception - utilization ; Contraceptive Agents, Female - administration & dosage ; Contraceptives, Oral, Hormonal - administration & dosage ; Contraceptives, Oral, Hormonal - adverse effects ; contraindications ; Cross-Sectional Studies ; Female ; female contraception ; Finland ; Gynecology. Andrology. Obstetrics ; Health Care Surveys ; Humans ; Intrauterine Devices - utilization ; Male ; Medical sciences ; Middle Aged ; physicians ; Physicians, Family - statistics & numerical data ; Practice Patterns, Physicians' - statistics & numerical data ; Practice Patterns, Physicians' - trends ; Practices ; primary health care ; Primary Health Care - statistics & numerical data ; Primary Health Care - trends ; Probability ; Quality of Health Care ; Risk Assessment ; Surveys and Questionnaires</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 2010-05, Vol.89 (5), p.636-645</ispartof><rights>Informa UK Ltd 2010</rights><rights>Acta Obstet Gynecol Scand 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5107-fd6a69aaa794d36e73e816b266a7cc8bf5b59af9da9046c543bb60068d4b382c3</citedby><cites>FETCH-LOGICAL-c5107-fd6a69aaa794d36e73e816b266a7cc8bf5b59af9da9046c543bb60068d4b382c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.3109%2F00016341003650020$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.3109%2F00016341003650020$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22733690$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20423277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sannisto, Tuire</creatorcontrib><creatorcontrib>Kosunen, Elise</creatorcontrib><title>Provision of contraception: a survey among primary care physicians in Finland</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>Abstract
Objective. To investigate self-reported practices of contraceptive provision among primary care physicians. Design. A cross-sectional questionnaire study. Setting. All community health centers (n = 63) in an university hospital area in Western Finland. Sample and methods. A total of 122 health center physicians involved in contraceptive counseling (CC) were invited to participate in self-administered survey. Data were obtained on initiation of contraceptive methods and the limits and contraindications applied when prescribing combined hormonal contraception (CHC), and they were assessed against Finnish and WHO guidelines. Main outcome measures. Distribution of initiated contraceptive methods and of examinations and tests included, application of limits and contraindications in relation to age, smoking, body mass index or weight, blood pressure (BP) and migraine with aura when prescribing CHC (combined oral contraceptives (COCs), vaginal ring and contraceptive patch). Results. Responded physicians (n = 83.68%) said they most frequently prescribed the COC pill. Progestin-only pills, levonorgestrel-releasing intrauterine system and copper-releasing intrauterine device were also provided regularly. Most of the respondents routinely took numerous examinations and tests when initiating contraception, including also unnecessary ones. There were gaps in their knowledge about the limits and contraindications for CHC. For example, 41% of the respondents did not recognize migraine with aura as a contraindication and only 19% reported applying the recommended BP limit of 140/90 mmHg. Conclusions. The range of contraceptives available and examinations and tests offered were comprehensive. However, the inadequate procedures regarding assessment of contraindications for CHC suggests that updating CC practices is challenging in primary care.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Contraception - standards</subject><subject>Contraception - utilization</subject><subject>Contraceptive Agents, Female - administration & dosage</subject><subject>Contraceptives, Oral, Hormonal - administration & dosage</subject><subject>Contraceptives, Oral, Hormonal - adverse effects</subject><subject>contraindications</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>female contraception</subject><subject>Finland</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Intrauterine Devices - utilization</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>physicians</subject><subject>Physicians, Family - statistics & numerical data</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Practice Patterns, Physicians' - trends</subject><subject>Practices</subject><subject>primary health care</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Primary Health Care - trends</subject><subject>Probability</subject><subject>Quality of Health Care</subject><subject>Risk Assessment</subject><subject>Surveys and Questionnaires</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqFkU9v1DAQxS0EokvhA3BBviBOKf4XO4FTtaJbUGkRAiFxsSaOw7ok9tZOCvvtcbShHJDgZNn-vTfzZhB6SskJp6R-SQihkgtKCJclIYzcQysqCSmIoOw-Ws3_RQbqI_Qopet8Y0pUD9ERI4JxptQKvf8Qw61LLngcOmyCHyMYuxvzwysMOE3x1u4xDMF_w7voBoh7bCBavNvukzMOfMLO4zPne_DtY_Sggz7ZJ8t5jD6fvfm0Pi8urjZv16cXhSkpUUXXSpA1AKhatFxaxW1FZcOkBGVM1XRlU9bQ1S3UREhTCt40OZasWtHwihl-jF4cfHcx3Ew2jXpwydg-92DDlLTivCS1lCST9ECaGFKKttNLCk2Jnoeo_xpi1jxb3KdmsO2d4vfUMvB8ASAZ6LsI3rj0h2O5vqxnI3ngfrje7v9fWZ9ebSijc4HiIHRptD_vhBC_a6m4KvWXy43-upYf1_Sd0JeZf73wvgtxgK2FftzOe9LXYYo-7-IfeX8BovWpcQ</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Sannisto, Tuire</creator><creator>Kosunen, Elise</creator><general>Informa UK Ltd</general><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201005</creationdate><title>Provision of contraception: a survey among primary care physicians in Finland</title><author>Sannisto, Tuire ; Kosunen, Elise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5107-fd6a69aaa794d36e73e816b266a7cc8bf5b59af9da9046c543bb60068d4b382c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Contraception - standards</topic><topic>Contraception - utilization</topic><topic>Contraceptive Agents, Female - administration & dosage</topic><topic>Contraceptives, Oral, Hormonal - administration & dosage</topic><topic>Contraceptives, Oral, Hormonal - adverse effects</topic><topic>contraindications</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>female contraception</topic><topic>Finland</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Intrauterine Devices - utilization</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>physicians</topic><topic>Physicians, Family - statistics & numerical data</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Practice Patterns, Physicians' - trends</topic><topic>Practices</topic><topic>primary health care</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Primary Health Care - trends</topic><topic>Probability</topic><topic>Quality of Health Care</topic><topic>Risk Assessment</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sannisto, Tuire</creatorcontrib><creatorcontrib>Kosunen, Elise</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sannisto, Tuire</au><au>Kosunen, Elise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Provision of contraception: a survey among primary care physicians in Finland</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>2010-05</date><risdate>2010</risdate><volume>89</volume><issue>5</issue><spage>636</spage><epage>645</epage><pages>636-645</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><notes>istex:B127E51F90A2D084BA6D74EC771C8ABAFBF65708</notes><notes>ark:/67375/WNG-ZC6RC1J4-N</notes><notes>ArticleID:AOG1217</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Abstract
Objective. To investigate self-reported practices of contraceptive provision among primary care physicians. Design. A cross-sectional questionnaire study. Setting. All community health centers (n = 63) in an university hospital area in Western Finland. Sample and methods. A total of 122 health center physicians involved in contraceptive counseling (CC) were invited to participate in self-administered survey. Data were obtained on initiation of contraceptive methods and the limits and contraindications applied when prescribing combined hormonal contraception (CHC), and they were assessed against Finnish and WHO guidelines. Main outcome measures. Distribution of initiated contraceptive methods and of examinations and tests included, application of limits and contraindications in relation to age, smoking, body mass index or weight, blood pressure (BP) and migraine with aura when prescribing CHC (combined oral contraceptives (COCs), vaginal ring and contraceptive patch). Results. Responded physicians (n = 83.68%) said they most frequently prescribed the COC pill. Progestin-only pills, levonorgestrel-releasing intrauterine system and copper-releasing intrauterine device were also provided regularly. Most of the respondents routinely took numerous examinations and tests when initiating contraception, including also unnecessary ones. There were gaps in their knowledge about the limits and contraindications for CHC. For example, 41% of the respondents did not recognize migraine with aura as a contraindication and only 19% reported applying the recommended BP limit of 140/90 mmHg. Conclusions. The range of contraceptives available and examinations and tests offered were comprehensive. However, the inadequate procedures regarding assessment of contraindications for CHC suggests that updating CC practices is challenging in primary care.</abstract><cop>Oxford, UK</cop><pub>Informa UK Ltd</pub><pmid>20423277</pmid><doi>10.3109/00016341003650020</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta obstetricia et gynecologica Scandinavica, 2010-05, Vol.89 (5), p.636-645 |
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| source | Wiley-Blackwell Journals |
| subjects | Adult Age Factors Aged Attitude of Health Personnel Biological and medical sciences Chi-Square Distribution Contraception - standards Contraception - utilization Contraceptive Agents, Female - administration & dosage Contraceptives, Oral, Hormonal - administration & dosage Contraceptives, Oral, Hormonal - adverse effects contraindications Cross-Sectional Studies Female female contraception Finland Gynecology. Andrology. Obstetrics Health Care Surveys Humans Intrauterine Devices - utilization Male Medical sciences Middle Aged physicians Physicians, Family - statistics & numerical data Practice Patterns, Physicians' - statistics & numerical data Practice Patterns, Physicians' - trends Practices primary health care Primary Health Care - statistics & numerical data Primary Health Care - trends Probability Quality of Health Care Risk Assessment Surveys and Questionnaires |
| title | Provision of contraception: a survey among primary care physicians in Finland |
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