组织初级保健临床医生扩大生殖健康准入:质量计划评估
Hayley V McMahon1,2, Laura Riker1, Hailey Broughton-Jones1
1Reproductive Health Access Project, New York, NY.
Family medicine
|March 20, 2024
概括
初级保健临床医生通过生殖健康接入网络获得支持,该网络打击隔离,并赋予性生殖健康倡导的领导权. 导师是维持这一关键工作的关键.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 社会学 社会学 社会学
背景情况:
- 在美国,获得包括堕胎在内的全面性生殖健康护理 (SRH) 是从初级保健中分离出来的.
- 罗伊诉韦德案的推翻加剧了现有的访问挑战.
- 初级保健临床医生 (PCC) 对SRH访问至关重要,但缺乏足够的培训和支持.
研究的目的:
- 评估生殖健康接入网络 (网络) 中初级保健临床医生 (PCC) 领导者的经验.
- 了解网络如何为SRH提供宣传,培训和同行支持.
主要方法:
- 在2021年进行了34次半结构化的电话采访,与现任 (n=27) 和前任 (n=7) 网络中PCC领导人进行了采访.
- 利用由该计划的变化理论和网络评估框架指导的反射主题分析.
主要成果:
- 参与者认为,网络支持对于通过同行连接,领导力赋权和当地组织基础设施克服孤立至关重要.
- 导师被视为开发PCC领导人可持续管道的必要条件.
- 燃烧和歧视被确定为全面参与的重大挑战.
结论:
- 社区建设,同行支持和指导对于发展和维持PCC在SRH组织中的领导地位至关重要.
- 解决倦怠问题,加强SRH教育和PCC的指导,促进包容性是必要的.
- 网络模型显示了通过临床医生领导扩大SRH访问的希望.
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