他診療科学会作成の診療ガイドラインにおける妊娠に関連する記述 ─産婦人科医の認知率,活用率とその問題点─  [in Japanese] Obstetrics and Gynecologists' awareness, utilization and the problems related to "the disease and pregnancy" in the clinical practice guidelines developed by other medical societies.  [in Japanese]

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Abstract

<p> わが国の産婦人科以外の診療科学会が作成している診療ガイドライン(GL)における妊娠に関連する記述についての産婦人科医の認知率,活用率とその問題点を明らかにするため,全国の日本産科婦人科学会専攻医指導病院599施設にアンケート調査を行い,316施設より回答を得た.他科診療GLの妊娠に関連する記述の認知は低く活用率も低かった.総合周産期センターでの活用率が高く卒後年数が31年以上の医師での活用率は低い傾向にあった.他科の妊娠に関連する診療GLの作成に関して,産婦人科医が作成に参加すべきとの意見が95%に上った.他科診療GLにおける妊娠に関連する記述の認知は全体的に低く,あまり活用されていない実態が明らかになった.GL間で齟齬がないよう作成時の産婦人科医の介入が望まれている.またGLの作成に産婦人科医が加わることや,医師の世代交代により認知率は上昇すると推察される.</p>

<p> We conducted a nationwide survey about the awareness and utilization by obstetricians and gynecologists of contents concerning pregnancy in clinical guidelines developed by other medical societies than Japan Society of Obstetrics and Gynecology. We sent a questionnaire to 599 clinical training facilities of obstetrics and gynecology in Japan. Out of the 316 responded facilities, the awareness of the contents concerning pregnancy in the clinical practice guidelines is low, and the utilization is low too. The utilization rate was high in perinatal medical centers. There was a tendency that doctors with more than 31 years' occupational experience did not use them. 95% and more reported that obstetricians and gynecologists need to participate in the preparation of the clinical practice guidelines by other medical societies. This questionnaire revealed that the awareness and utilization by obstetricians and gynecologists of contents concerning pregnancy in the clinical practice guidelines developed by other medical societies are generally low. It is possible that the involvement of obstetricians and gynecologists in the creation of guidelines and the development of younger doctors enhance the awareness and utilization.</p>

Journal

  • Journal of Japan Society of Perinatal and Neonatal Medicine

    Journal of Japan Society of Perinatal and Neonatal Medicine 56(2), 254-260, 2020

    Japan Society of Perinatal and Neonatal Medicine

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