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Patient or clinician: Duration of use of intrauterine devices based on who initiated discussion of placement
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نویسنده
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chang t. ,moniz m.h. ,plegue m.a. ,shaffer k.s. ,vance h.b. ,gold k.j.
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منبع
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journal of the american board of family medicine - 2016 - دوره : 29 - شماره : 1 - صفحه:24 -28
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چکیده
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Background: although safe and effective,intrauterine devices (iuds) are underutilized in the united states. the objective of this study was to determine whether patient-and clinician-initiated discussions were associated with the duration of mirena (52 mg levonorgestrel-releasing) iud use. methods: retrospective chart review identified mirena iuds that were placed and removed for reasons other than the desire for pregnancy from january 1,2005,to january 1,2012,at 1 academic center (n = 148). multivariable linear regression examined the independent association between duration of use and source of discussion initiation. results: iuds placed after patient-initiated discussions were used for 473 days longer than those placed after clinician-initiated discussions (p <.001). conclusion: patient-initiated discussions of mirena iuds are associated with a significantly longer duration of use. patient influences outside the clinical encounter may be important in optimizing use.
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کلیدواژه
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Intrauterine Devices; Physician-Patient Relations; Social Networks
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آدرس
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department of family medicine,university of michigan,1018 fuller street,ann arbor,mi 48104,united states,institute for health policy and innovation, United States, institute for health policy and innovation,united states,department of obstetrics and gynecology,united states,robert wood johnson foundation clinical scholars program, United States, department of family medicine,university of michigan,1018 fuller street,ann arbor,mi 48104, United States, university of michigan,ann arbor, United States, providence family medicine residency,southfield,mi,united states,department of family medicine,boulder medical center,boulder,co, United States, department of family medicine,university of michigan,1018 fuller street,ann arbor,mi 48104,united states,department of obstetrics and gynecology, United States
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Authors
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