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Family physicians' practices regarding Norplant

T Tafelski1, C Taylor

  • 1Department of Family Medicine, Medical College of Ohio, Toledo 43699-0008.

The Journal of Family Practice
|November 1, 1994
PubMed
Summary

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Over half of family physicians offer Norplant (a long-term contraceptive implant) to patients. Most physicians offering Norplant are satisfied with its performance, despite some concerns about side effects.

Area of Science:

  • Family Medicine
  • Contraception
  • Public Health

Background:

  • Norplant, a long-term contraceptive, was introduced in the US in 1991.
  • This study assessed current Norplant offering and insertion practices among family physicians.

Purpose of the Study:

  • To determine the extent to which family physicians offer and insert Norplant.
  • To identify factors influencing physicians' decisions regarding Norplant provision.

Main Methods:

  • Cross-sectional descriptive survey design.
  • Random sample of family physicians from the Ohio Academy of Family Physicians.

Main Results:

  • 54% of responding physicians offered Norplant; 25% inserted it themselves.
Keywords:
AmericasAttitudeBehaviorContraceptionContraceptive AgentsContraceptive Agents, FemaleContraceptive Agents, ProgestinContraceptive ImplantsContraceptive MethodsDelivery Of Health CareDeveloped CountriesFamily PlanningHealthHealth PersonnelInsertionLevonorgestrelNorth AmericaNorthern AmericaOhioPhysiciansPsychological FactorsResearch ReportSampling StudiesSatisfactionStaff AttitudeStudiesSurveysTreatmentUnited States

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  • Physicians offering Norplant were more likely to be younger, female, board-certified, and practicing obstetrics.
  • Concerns about side effects, cost, and familiarity were primary reasons for not offering Norplant.
  • Conclusions:

    • Over half of surveyed physicians provided Norplant as a contraceptive option.
    • Physicians offering Norplant reported high satisfaction with its performance.
    • Norplant was considered suitable for specific patient populations.