在住院综合选择退出培训后,家庭医生提供堕胎服务
Aleza K Summit1, Erica Chong1, Marji Gold1
1Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY.
Family medicine
|June 13, 2023
概括
在堕胎护理的家庭医学实习培训显著增加了毕业后的堕胎提供. 增强性和生殖健康 (SRH) 教育更好地为医生准备全面的患者护理.
科学领域:
- 医学教育 医学教育
- 家庭医学 家庭医学 家庭医学
- 生殖健康 生殖健康
背景情况:
- 家庭医学的生殖健康教育 (RHEDI) 促进家庭医学的住院所需的性和生殖健康 (SRH) 培训.
- 评估医生在实习后的长期实践模式对于了解培训对SRH和堕胎服务的影响至关重要.
研究的目的:
- 评估加强SRH培训对家庭医生实践模式的长期影响.
- 确定是否以及如何堕胎提供与医生之间有或没有增强的SRH住院培训的医生之间有所不同.
主要方法:
- 一项匿名在线调查分发给了1949名家庭医生,他们在2010年至2018年之间完成了住院.
- 调查数据集中在SRH的住院培训和SRH服务的当前提供,包括堕胎.
- 邀请了1949名家庭医生,714人完成了调查,回复率为36.6%.
主要成果:
- 在实习期间接受常规堕胎培训的医生在毕业后更有可能进行堕胎 (24%) 与没有 (13%) 相比.
- 受过堕胎培训的医生也更有可能提供其他SRH服务.
- 在家庭医疗机构的培训与更高的堕胎提供率 (31-33%) 相比,仅在专用堕胎诊所的培训 (13-18%) 相对相关.
结论:
- 在家庭医疗住院期间的堕胎培训与住院后的堕胎提供增加密切相关.
- 包括堕胎在内的全面的SRH教育对于准备家庭医生满足各种患者需求至关重要.
- 家庭医学实习培训对医生提供基本生殖保健服务的意愿和能力产生重大影响.
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