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Perceptions of Menopause Care: A Pilot Survey Study of Providers from Primary Care, Endocrinology, and Obstetrics and Gynecology.

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Názov: Perceptions of Menopause Care: A Pilot Survey Study of Providers from Primary Care, Endocrinology, and Obstetrics and Gynecology.
Autori: Jeevananthan A; Division of Endocrinology, Metabolism, and Nutrition, Duke University Medical Center, Durham, North Carolina, United States., Alexopoulos AS; Division of Endocrinology, Metabolism, and Nutrition, Duke University Medical Center, Durham, North Carolina, United States.; Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Medical Center, Durham, North Carolina, United States., Goldstein KM; Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Medical Center, Durham, North Carolina, United States.; General Internal Medicine, Duke University Medical Center, Durham, North Carolina, United States., Moreno AC; Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah, United States.
Zdroj: Journal of women's health (2002) [J Womens Health (Larchmt)] 2025 Dec; Vol. 34 (12), pp. 1462-1471. Date of Electronic Publication: 2025 Aug 22.
Spôsob vydávania: Journal Article
Jazyk: English
Informácie o časopise: Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101159262 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1931-843X (Electronic) Linking ISSN: 15409996 NLM ISO Abbreviation: J Womens Health (Larchmt) Subsets: MEDLINE
Imprint Name(s): Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., [2002]-
Výrazy zo slovníka MeSH: Menopause* , Gynecology* , Obstetrics*/statistics & numerical data , Primary Health Care* , Attitude of Health Personnel* , Practice Patterns, Physicians'*/statistics & numerical data, Humans ; Female ; Pilot Projects ; Surveys and Questionnaires ; Endocrinology ; Middle Aged ; Adult ; Male ; Perception
Abstrakt: Objective: To describe and compare current attitudes, practices, and needs in the provision of menopause care across multiple specialties. Materials and Methods: An anonymous survey was emailed to providers in primary care, endocrinology, and obstetrics and gynecology (OB/GYN) at Duke University and the University of Utah between January 4 and February 14, 2024. Results: The response rate was 18% (238/1326). Data analysis was performed on the 201 fully licensed providers who completed the survey. Most primary care physicians (PCPs) (92%, 94/102) and OB/GYNs (95%, 54/57) reported providing care for symptomatic menopause, whereas only 38% (16/42) of endocrinologists reported the same. The respondents indicated the following specialties as being responsible for the provision of menopause care at the following frequencies: 83% (166/201) primary care, 96% (193/201) OB/GYN, and 40% (81/201) endocrinology. OB/GYN providers endorsed the highest rates of confidence and understanding with menopausal hormone therapy, whereas endocrinologists endorsed the lowest rates. Most frequently reported barrier to provision of menopause care was lack of training (62%, 124/201). Most frequently reported way to improve provision of menopause care was training for providers (92%, 184/201). For primary ovarian insufficiency, only 45% (46/102) of PCPs always found it appropriate to treat with hormone therapy as compared with 82% (47/57) of OB/GYNs and 86% (36/42) of endocrinologists. Conclusions: Our pilot study highlights the need for enhanced provider education and the existing variations in menopause care across specialties. However, due to the study's limited generalizability, a nationally representative study is necessary to better understand the provider-related factors influencing menopause care delivery.
Contributed Indexing: Keywords: endocrinology; menopausal hormone therapy; menopause; obstetrics and gynecology; primary care; provider survey
Entry Date(s): Date Created: 20250822 Date Completed: 20251124 Latest Revision: 20251124
Update Code: 20251124
DOI: 10.1177/15409996251370925
PMID: 40844489
Databáza: MEDLINE
Popis
Abstrakt:Objective: To describe and compare current attitudes, practices, and needs in the provision of menopause care across multiple specialties. Materials and Methods: An anonymous survey was emailed to providers in primary care, endocrinology, and obstetrics and gynecology (OB/GYN) at Duke University and the University of Utah between January 4 and February 14, 2024. Results: The response rate was 18% (238/1326). Data analysis was performed on the 201 fully licensed providers who completed the survey. Most primary care physicians (PCPs) (92%, 94/102) and OB/GYNs (95%, 54/57) reported providing care for symptomatic menopause, whereas only 38% (16/42) of endocrinologists reported the same. The respondents indicated the following specialties as being responsible for the provision of menopause care at the following frequencies: 83% (166/201) primary care, 96% (193/201) OB/GYN, and 40% (81/201) endocrinology. OB/GYN providers endorsed the highest rates of confidence and understanding with menopausal hormone therapy, whereas endocrinologists endorsed the lowest rates. Most frequently reported barrier to provision of menopause care was lack of training (62%, 124/201). Most frequently reported way to improve provision of menopause care was training for providers (92%, 184/201). For primary ovarian insufficiency, only 45% (46/102) of PCPs always found it appropriate to treat with hormone therapy as compared with 82% (47/57) of OB/GYNs and 86% (36/42) of endocrinologists. Conclusions: Our pilot study highlights the need for enhanced provider education and the existing variations in menopause care across specialties. However, due to the study's limited generalizability, a nationally representative study is necessary to better understand the provider-related factors influencing menopause care delivery.
ISSN:1931-843X
DOI:10.1177/15409996251370925