妊娠中絶提供クリニックにおける生殖保健サービス:提供と政策の枠組みの概要
Katherine M Mahoney1, Licia Bravo1, Arden McAllister2
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
まとめ
中絶クリニックは避妊やSTI検査を含む 重要な生殖保健サービスを提供しています 妊娠中絶へのアクセスを制限する政策は,これらの重要な予防サービスを制限する可能性があります.
科学分野:
- 生殖 健康
- 公衆衛生政策
- 医療へのアクセス
背景:
- 妊娠中絶診療所は 妊娠中絶治療以外にも 様々な生殖保健サービスの 重要なアクセスポイントです
- 提供される予防サービスの範囲と政策の枠組みを理解することは,総合的な生殖医療に不可欠です.
研究 の 目的:
- 避妊医療の提供,性感染症の検査/治療,子宮頸がんのスクリーニング/予防を米国中絶クリニックで特徴づける.
- 妊娠中絶ケアにおけるこれらの予防サービスの提供とアクセシビリティに影響を与える健康政策の要因を特定する.
主な方法:
- 主要なデータベース (PubMed,Embase,Scopus,CINAHL) の記事のスケーピングレビューが,開始から2023年3月まで行われました.
- 中絶へのアクセス,需要,または提供に関連する避妊ケア,STIサービス,または子宮頸がんサービスを議論する記事は含まれています.
- 対象となる記事内の健康政策の議論を分析し,政策の原動力を特定しました.
主要な成果:
- 避妊ケア (65件),性感染症サービス (7件),子宮頸がんサービス (2件) を中心に74件が掲載されました.
- サービス提供に影響を及ぼした主な政策要因は,保険/請求ポリシーと施設と臨床医に対する規制要件でした.
- 妊娠中絶へのアクセス政策が予防サービス提供に与える影響に関する国内データも限られている.
結論:
- 妊娠中絶クリニックは 予防的生殖保健サービスの重要なアクセスポイントです
- 妊娠中絶へのアクセスを制限する立法的な努力は,避妊とSTI/子宮頸がんサービスを含む基本的な予防ケアの利用可能性に悪影響を及ぼす可能性があります.
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