美国妇产科医生对后多布斯诉杰克逊州堕胎禁令的感知影响
Erika L Sabbath1,2, Samantha M McKetchnie1, Kavita S Arora3
1School of Social Work, Boston College, Chestnut Hill, Massachusetts.
JAMA network open
|January 17, 2024
概括
美国禁止堕胎的州的产妇科医生经历了重大的临床和个人影响,包括道德困扰和对法律影响的恐惧. 这些限制威胁到医生的福祉和医疗保健的可获得性.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 生殖健康 生殖健康
背景情况:
- 在多布斯决定之后,17个美国州颁布了堕胎禁令,为医生创造了重罪指控.
- 虽然研究了患者的影响,但对医生的后果仍未得到充分研究.
研究的目的:
- 评估堕胎限制对美国妇产科医生的临床实践,心理健康和工作满意度的影响.
- 了解在有功能性堕胎禁令的州内医生的看法.
主要方法:
- 定性研究涉及54名产科医生半结构面试.
- 参与者来自美国13个州,这些州在2022年6月至2023年3月期间颁布了堕胎禁令.
主要成果:
- 妇产科医生报告了显著的临床影响,包括护理延迟和关于怀孕选择的有限咨询.
- 个人影响包括道德上的痛苦,对法律后果的恐惧,以及抑郁和焦虑症状的增加.
- 医生们表示,他们打算离开那些禁止堕胎的州.
结论:
- 国家对堕胎的禁令深深地影响了妇产科医生,影响了劳动力的可持续性和医生的福祉.
- 组织支持对于保持临床医生的健康和可获得的患者护理至关重要.
- 这些发现凸显了有关医生自主权和医疗保健准入的政策考虑的必要性.
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