在堕胎后的一年里,产科和妇科住院申请的趋势 堕胎后的一年里,获得权限的变化
Maya M Hammoud1, Helen K Morgan1, Karen George2
1Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor.
JAMA network open
|February 7, 2024
概括
国家禁止堕胎导致2023年产科和妇科 (OBGYN) 住院申请人数略有下降. 然而,申请人的兴趣信号在各州保持一致,表明尽管有堕胎限制,但计划偏好没有变化.
科学领域:
- 医学教育 医学教育
- 公共卫生政策 公共卫生政策
- 生殖健康 生殖健康
背景情况:
- 国家特定的堕胎限制对44%的美国居民影响了妇产科医生住院培训.
- 多布斯诉杰克逊判决改变了生殖健康服务和培训的格局.
- 了解申请人对这些变化的反应行为对于医学教育至关重要.
研究的目的:
- 分析在多布斯诉杰克逊判决后,各州对妇产科医生住院计划申请的变化.
- 为了确定堕胎禁令是否影响申请人计划偏好信号.
- 评估州堕胎法律对妇产科住院申请人分布的影响.
主要方法:
- 匿名的OBGYN住院申请数据 (2019-2023) 的连续横截面研究.
- 使用了美国医学院协会电子居住申请服务的数据.
- 分析了申请人数和计划偏好信号,按州堕胎限制状态分类.
主要成果:
- 总体申请人数保持稳定,但在2023年,在禁止堕胎的州申请计划的申请人数有显著的下降.
- 申请人的信号数据没有根据各州的堕胎禁令状态显示出显著的差异.
- 州外申请人向不同堕胎法律的州的计划发送的信号中没有发现差异.
结论:
- 在2023年禁止堕胎的州中,产科医生居住申请人数略有但显著下降.
- 申请人的兴趣,如信号所示,没有受到堕胎禁令地位的影响.
- 持续监测对于了解堕胎禁令对妇产科医生培训和劳动力发展的长期影响至关重要.
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