增加获得避孕的机会:检查长效可逆避孕的障碍物和促进者
Charlan D Kroelinger1, H Pamela Pagano1, Carla L DeSisto1,2
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Journal of women's health (2002)
|November 16, 2023
概括
报销和供应链中的障碍阻碍了长效可逆避孕 (LARC) 的使用. 然而,修订后的支付模式和补充资金提供了改善LARC可用性和患者护理的解决方案.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 获得避孕措施的机会.
背景情况:
- 获得长效可逆避孕 (LARC) 对生殖健康至关重要.
- 退款,设备采购,库存和供应方面的障碍可能会阻碍LARC的可用性.
- 了解这些挑战对于改善避孕措施的获取至关重要.
研究的目的:
- 识别影响LARC的报销,设备采购,储存和供应的障碍和促进因素.
- 分析来自27个司法管辖区的数据,这些司法管辖区参与了"增加获得避孕的学习社区" (2016-2018).
主要方法:
- 使用27个半结构化关键告密者访谈进行的定性描述性研究.
- 使用实施科学方法对提取的摘录进行主题编码和总结.
主要成果:
- 89%的司法管辖区报告说,在LARC退款,收购,储存和供应方面存在障碍.
- 支付方法的挑战和缺乏计费/编码流程是主要的退款障碍.
- 设备采购成本挑战和缺乏设施协议是供应链的主要障碍.
- 扩大支付选项,补充资金和协议开发是常见的促进因素.
结论:
- 司法管辖区实施了修订后的支付方法和卫生系统变化,以克服LARC访问障碍.
- 学习社区框架促进信息交换和最佳实践分享,以改善避孕措施的获取.
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