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本研究以定量和定性方法对我国三省市药物流产的使用情况进行调查,目的在于了解使用者和服务提供者关于药物流产信息和知识的来源和质量;不同级别医疗单位提供药物流产服务的情况及政府管理部门对药物流产的管理情况。调查在北京、广东和湖南三省市进行。结果发现,部分提供者对药物流产的禁忌证了解不够或执行不当;各地对流产前的检查项目掌握不一致,一些不必要的检查增加了使用者的经济负担;部分使用者未能按常规要求在医院服用半非司酮和米前列醇;有些提供药物流产服务的单位未按政府要求进行登记;不少提供者在治疗药物流产后出血时使用价格昂贵的药品;不同地区或单位药物流产的价格差别很大;尽管在咨询和流产后避孕指导方面,尚需改进,多数使用者对药物流的的服务表示满意。本文对加强药物流产的管理提出建议。
This study investigated quantitatively and qualitatively the use of medical abortion in three provinces in China in order to understand the sources and quality of information and knowledge about medical abortion among users and service providers. The medical abortion services provided by different levels of medical units And government management of medical abortion management. The survey was conducted in Beijing, Guangdong and Hunan provinces. The results showed that some providers had inadequate or improper implementation of the contraindication for medical abortion, the inconsistency of the pre-abortion checkup programs around the country, the unnecessary cost-cutting of some unnecessary checks, and the failure of some users to comply with the general requirements Hospitals took half-pirprone and mifepristone; some did not register as required by the government; many providers used expensive drugs to treat post-abortion bleeding; and prices for medical abortion in different regions or units Although the counseling and post-abortion guidelines need to be improved, most users are satisfied with the service delivery. This article suggests ways to strengthen the management of medical abortion.