在计划生育从德克萨斯州的医疗补助网络中终止后获得护理:一项定性研究
Anna Chatillon1, Elsa Vizcarra2, Bhavik Kumar3
1Population Research Center, University of Texas at Austin, Austin, TX, United States.
Contraception
|August 19, 2023
概括
德克萨斯州医疗补助计划的患者在计划生育从该计划中终止后面临生殖健康护理的重大障碍. 这导致延迟或放弃护理和情绪困扰,突出了提供者选择和获取问题的问题.
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 2021年,德克萨斯州从其医疗补助计划中终止了计划生育提供者,影响了低收入人群获得生殖健康服务的机会.
- 医疗补助患者依赖于可访问的提供者,他们接受各种计划,并提供综合护理,包括避孕和转诊.
研究的目的:
- 探索德克萨斯州计划生育医疗补助计划的患者在该组织从医疗补助计划中终止后的经历.
- 了解这种终止对患者获得生殖健康护理的能力的影响以及随后的后果.
主要方法:
- 定性研究涉及半结构化的电话采访与以前在计划生育获得医疗补助患者的医疗补助患者.
- 通过基线和2个月后续访谈收集的数据,使用基础理论原则进行分析.
- 招聘使用直接邮件,电子邮件,社区外展和中心传单.
主要成果:
- 患者报告计划生育可靠地接受医疗补助,解决障碍,并提供转介.
- 终止治疗后,患者遇到难以获得护理的困难,包括获得当天预约和现场药物.
- 后果包括延迟或放弃生殖健康护理,如避孕,以及严重的情绪痛苦.
结论:
- 计划生育医疗补助计划的患者在终止后面临着获得生殖健康护理和基于证据的服务的挑战.
- 确保Medicaid患者有提供者选择的自由对于改善获得高质量的生殖健康护理和避孕措施至关重要.
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