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首页> 外文期刊>Patient Preference and Adherence >No gynecologist in town: the gynecological care?of women in rural Taiwan
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No gynecologist in town: the gynecological care?of women in rural Taiwan

机译：镇上没有妇科医生：台湾农村妇女的妇科护理

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Background: A shortage of gynecologists exists in many countries. Even within an affluent country, gynecological clinics might not be evenly distributed. The purpose of the study was to investigate the disparity in gynecological care between adult women living in towns with and without gynecologists in Taiwan.Methods: Data sources were the cohort datasets of the National Health Insurance Research Database, with claims data of 1 million beneficiaries in 2010. A woman’s residency was operationally inferred from the locations where she had most frequently visited physicians’ clinics or local community hospitals within the year.Results: In Taiwan, 145 (39.4%) of 368 towns had no practicing gynecologist. Of 382,167 women with health care use in the datasets, 21,794 (5.7%) lived in towns without a gynecologist. The overwhelming majority of these towns lay in sparsely populated, rural areas. During the year, 132,702 women (34.7%) had sought medical help for gynecological diseases and 113,698 (29.8%) had visited gynecologists for gynecological diseases. Women in towns without a gynecologist were less likely to consult for gynecological diseases (23.8% versus 35.4%; P<0.001) and visit gynecologists (18.7% versus 30.4%; P<0.001) than women in towns with a gynecologist. The disparity existed in each age group. Among 5,189 adult women living in towns without a gynecologist and having gynecological diseases, 78.5% (number [n]=4,074) visited gynecologists out of town, especially for infertility, benign disorders of the uterus and ovaries, gynecological examinations, and contraceptive problems, and by contrast 23.3% (n=1,209) visited nongynecologists in town, most commonly for menopausal disorders, endometriosis and pelvic pain, menstrual disorders and hormonal dysfunction, and genital dysplasia.Conclusion: Gynecological care of rural women was adversely affected by the shortage of gynecologists. The consequences of accessibility in underserved areas deserve further investigation.
机译：背景：许多国家都缺乏妇科医生。即使在一个富裕的国家，妇产科诊所也可能分布不均。本研究的目的是调查台湾有或没有妇科医生的城镇中成年女性之间在妇科保健方面的差异。方法：数据来源是国家健康保险研究数据库的同类数据库，其中有100万受益人的索赔数据。 2010年。从一年中该妇女常去医生诊所或当地社区医院的地点可推断出妇女的居住地。结果：在台湾，在368个城镇中，有145个（39.4％）没有执业的妇科医生。在数据集中的382,167名有保健用途的妇女中，有21,794名（5.7％）生活在没有妇科医生的城镇中。这些城镇中的绝大多数位于人口稀少的农村地区。年内，有132,702名妇女（34.7％）为妇科疾病寻求医疗救助，而113,698（29.8％）人为妇科疾病就诊。与有妇科医生的城镇妇女相比，没有妇科医生的城镇妇女就妇科疾病进行咨询的可能性较小（23.8％对35.4％; P <0.001）和拜访妇科医生的比例（18.7％对30.4％; P <0.001）。每个年龄段均存在差异。在没有妇科医生的城镇居住的5189名成年妇女中，有妇科疾病的妇女中有78.5％（人数[n] = 4,074）到镇上拜访了妇科医生，尤其是在不孕症，子宫和卵巢良性疾病，妇科检查和避孕问题方面，相比之下，有23.3％（n = 1,209）的非妇科医生拜访了镇上的非妇科医生，最常见的是更年期疾病，子宫内膜异位和骨盆疼痛，月经失调和荷尔蒙功能障碍以及生殖器发育不良。妇科医生。服务不足地区无障碍的后果值得进一步调查。

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