预防怀孕的mHealth技术:荷兰通用诊所中以患者为中心的避孕咨询的挑战
Ellen Algera1,2,3,4, Peter Leusink5, Trudie Gerrits1
1Department of Anthropology, Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, The Netherlands.
The European journal of general practice
|January 24, 2024
概括
由于厌恶风险,医疗保健专业人员经常避免讨论基于移动健康避孕和生育意识的方法 (FABM),这可能会限制以患者为中心的护理. 建议旨在将这些方法纳入咨询中.
科学领域:
- 生殖健康 生殖健康
- 数字健康数字健康
- 医学教育 医学教育
背景情况:
- 荷兰的全科医生 (GPs) 提供标准的避孕咨询.
- 使用基于生育意识的方法 (FABMs) 预防怀孕的移动健康 (mHealth) 技术正在出现.
- 关于mHealth避孕有效性和整合到咨询中的证据是有限的.
研究的目的:
- 分析荷兰医疗保健专业人员如何将mHealth避孕措施纳入避孕咨询中.
- 为整合mHealth避孕提出实践建议.
主要方法:
- 使用半结构面试 (n=9) 和对避孕咨询的观察 (n=10) 的民族学研究.
- 对医疗培训课程 (n=6),国家临床指南和患者决策辅助工具 (n=7) 的分析.
- 使用实践和主题方法进行诱导性分析 (2018-2021年).
主要成果:
- 专业人士在咨询中混合了量身定制的治疗和降低风险.
- 在讨论mHealth避孕时,大多数人优先考虑降低风险,而不是定制治疗.
- 有些人将mHealth避孕或FABM视为劣质或没有避孕药.
结论:
- 犹不决地包括mHealth避孕和FABM源于降低风险,可能会阻碍以患者为中心的护理.
- 建议建议推广针对患者量身定制的方法来促进mHealth避孕药.
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