探索面向青少年的美国临床医生对他们的避孕咨询和共享决策的使用的看法:一种定性研究
Madeline Thornton1, Emily S Mann2, Brooke W Bullington3
1School of Medicine, University of North Carolina, North Carolina, USA.
Perspectives on sexual and reproductive health
|August 23, 2024
概括
在青少年避孕咨询中,临床医师的实践往往不足于共同决策 (SDM) 的目标. 了解这些非患者为中心的技术对于改善青少年公平护理和避孕咨询至关重要.
科学领域:
- 青少年生殖健康 青少年生殖健康
- 临床实践指南 临床实践指南
- 共享的决策模式.
背景情况:
- 青少年的避孕决定涉及患者和临床医生的因素.
- 专业组织正在转向共享决策 (SDM),以提供无偏见的咨询.
- 如果临床医生依赖假设,SDM可能会无意中增加不公平.
研究的目的:
- 探索美国临床医生中自我报告的避孕咨询实践.
- 评估这些做法如何为SDM和以人为中心的青少年护理创造障碍或促进者.
主要方法:
- 定性研究涉及16名临床医生的采访.
- 在2022年AAP年会上招募了临床医生.
- 用Dedoose进行了采访成绩单的主题内容分析.
主要成果:
- 确定了避孕咨询的六个共同方面.
- 其中包括社会人口统计学影响,分层有效性,辅导方法,青少年怀孕重点,方法可访问性和父母参与.
- 分析了主题以与SDM框架组件保持一致.
结论:
- 临床医生经常在青少年避孕咨询中使用非以患者为中心的技术.
- 结果可以为高质量,基于SDM的避孕咨询提供建议.
- 改善咨询实践可以支持青少年患者的公平护理.
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