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在家庭医疗住院计划中为LARC进行区块安排
Elisabeth F Callen1,2, Rahmat Na'Allah3, Artis Lewis4,5
1American Academy of Family Physicians National Research Network, Leawood, KS.
长效可逆避孕 (LARC) 诊所实施区块安排显著提高了居民对咨询和提供LARC方法的信心. 这种教育策略也导致了LARC设备安置的增加,改善了患者获得生殖自主权的机会.
科学领域:
- 家庭医学教育家庭医学教育
- 生殖健康 生殖健康
- 避孕方法 访问 避孕方法 访问
背景情况:
- 家庭医生提供长效可逆避孕 (LARC) 的报道很少,临床医生相关的障碍包括舒适性和信心.
- 住院培训可以减轻障碍,并加强LARC的访问,支持生殖自主权.
- 由于LARC的有限可用性和吸收,阻碍了其广泛使用.
研究的目的:
- 评估区块安排LARC诊所对居民舒适性和信心的影响.
- 评估LARC咨询和居民插入/移除技能的变化.
- 为了确定调度变化是否会影响LARC设备安置率.
主要方法:
- 在家庭医学诊所 (FMC) 和联邦资格医疗中心轮换中建立了LARC区块时间表.
- 进行了基线和研究结束调查,以评估居民对LARC咨询和插入的舒适度和信心.
- 收集了干预年和前一年在FMC放置LARC设备的数据.
主要成果:
- 住院舒适性显著增加了关于Levonorgestrel (LNG) 子宫内装置 (IUD) 的咨询,以及插入植入物和LNG IUD 的咨询.
- 铜IUD的个人舒适度也增加了.
- 观察到居民越来越愿意推LARC,并且在干预年期间在FMC放置的LARC设备数量越来越多.
结论:
- 区块安排LARC诊所有效地增加了居民在咨询和安置LARC方法,特别是LNG IUD和植入物的舒适性和信心.
- 这种安排模式与一个诊所LARC安置的增加有关.
- 修改诊所时间表是一个有前途的教育策略,可以提高LARC的可用性和访问性.
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