在初级保健中实施米费普里斯:临床医生和工作人员从一个合作学习试点的见解
Meera Sakthivel1, Hillary Wolff2, Kristie Monast3
1Pritzker School of Medicine, University of Chicago, Chicago, IL, United States.
Contraception
|September 13, 2023
概括
初级保健提供者发现ExPAND学习协作对mifepristone提供有价值. 整合这种药物与临床价值观一致,并改善了患者护理,尽管存在一些资金和后勤挑战.
科学领域:
- 主要护理是指初级护理.
- 生殖健康 生殖健康
- 定性研究是指质量研究.
背景情况:
- 联邦合格卫生中心 (FQHCs) 面临提供米费普里斯顿的障碍.
- 该ExPAND学习协作旨在解决这些后勤挑战.
- 这项研究探讨了临床医生和工作人员对FQHCs中mifepristone实施的观点.
研究的目的:
- 描述临床医生和工作人员对ExPAND mifepristone学习合作的观点.
- 确定在初级保健机构中实施mifepristone的障碍和促进者.
- 评估ExPAND对以患者为中心的护理和获得生殖健康服务的影响.
主要方法:
- 使用半结构面试对13名临床医生,工作人员和来自伊利诺伊州两个FQHC的领导层进行定性研究.
- 对面试成绩单进行主题分析的修改基础理论方法.
- 有目的的抽样收集有关米费普里斯顿供应的不同观点.
主要成果:
- 参与者强烈支持为流产管理和堕胎护理提供mifepristone.
- 人们认为ExPAND与临床价值观保持一致,加强初级保健关系并解决获取差异.
- 关键障碍包括担心危及FQHC资金和与流行病有关的后勤障碍.
结论:
- 在初级保健中提供米费普里斯顿是一种有价值的服务,ExPAND促进了其整合.
- 未来的ExPAND参与者需要在导航堕胎护理的联邦资金限制方面接受教育.
- 学习协作是有效的准备初级保健诊所为mifepristone提供.
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