与孟加拉国药房来源的自主流产相比,客户报告的设施管理药物流产的质量
Laura E Jacobson1, Sarah E Baum2, Erin Pearson3
1OHSU-PSU School of Public Health, Health Systems & Policy, Portland, Oregon, USA jacobsonlaura@gmail.com.
BMJ sexual & reproductive health
|September 12, 2023
概括
在孟加拉国,客户报告的药物堕胎护理质量显示,在大多数指标上,设施管理和药房自主管理堕胎 (SMA) 之间没有显著差异. 药房提供了更高的可负担性,而设施提供了更好的信息和对不良事件的准备.
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
- 全球健康 全球健康
背景情况:
- 护理质量对于药物堕胎服务至关重要.
- 了解客户报告的体验对于改善服务至关重要.
- 通过药房进行的自主流产 (SMA) 越来越普遍.
研究的目的:
- 为了比较客户报告的药物堕胎护理质量,在孟加拉国的设施管理服务和药房来源的SMA之间.
- 通过使用堕胎护理质量工具 (ACQTool) 在多个领域评估质量.
主要方法:
- 利用了550名孟加拉国客户的退出和后续调查.
- 在设施和药房来源之间比较了18个质量指标和8个结果.
- 采用双变量统计和多变量逻辑回归分析.
主要成果:
- 设施和药房来源之间大多数质量指标和堕胎结果没有显著差异.
- 药房来源的SMA与报告的更高的负担能力 (aOR 3.55) 有关.
- 基于设施的护理报告了更高的信息提供 (aOR 0.14) 和对不良事件的准备 (aOR 0.45).
结论:
- 在大多数指标上,客户报告的药物堕胎质量在孟加拉国的设施和药房之间是可比的.
- 药房提供了一个更实惠的选择,用于药物堕胎.
- 卫生设施提供有关潜在不良事件的卓越信息和准备.
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