初级保健和堕胎提供者对邮购药物堕胎的看法:一种定性研究
Sarah Raifman1, Tanvi Gurazada2, Jessica Beaman3
1Advancing New Standards in Reproductive Health, University of California, San Francisco, 1330 Broadway Suite 1100, Oakland, CA, 94612, USA. Sarah.Raifman@ucsf.edu.
临床医生和工作人员认为,通过邮寄订购的药物流产可以带来潜在的好处,包括扩大访问和患者隐私. 然而,后勤和临床问题仍然存在,尤其是在多布斯决定之后.
科学领域:
- 生殖健康 生殖健康
- 制药服务 制药服务
- 定性研究是指质量研究.
背景情况:
- 评估临床医生和工作人员对邮购药房药物流产的看法.
- 在FDA取消mifepristone个人处方要求之前进行的研究.
研究的目的:
- 评估临床医生和工作人员对邮购药物堕胎发行意见.
- 识别感知到的好处,担忧和实施障碍.
主要方法:
- 半结构化视频采访的定性主题分析.
- 在7个州的11个诊所与临床医生和临床工作人员进行了24次采访.
- 参与者包括来自初级保健和堕胎诊所的医生,护士从业人员和诊所工作人员.
主要成果:
- 感知到的好处包括将堕胎服务扩展到初级保健,增强患者的自主性和隐私,并使服务正常化.
- 确定的问题包括后勤,临床和可行性挑战.
- 在将堕胎护理整合到初级保健机构中,人们注意到了具体的困难.
结论:
- 临床医生和工作人员对邮购分发充满乐观,改善了堕胎准入和提供者能力.
- 邮购药房发放药物堕胎的长期可行性仍然不确定,特别是在多布斯决定之后.
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