堕胎患者对提升远程医疗模式后堕胎避孕的观点:一种定性研究
Nicola Boydell1, Sophie Buijsen2, John Joseph Reynolds-Wright3,4
1Usher Institute, Centre for Biomedicine, Self and Society, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK nicola.boydell@ed.ac.uk.
BMJ sexual & reproductive health
|September 5, 2024
概括
患者需要灵活和可访问的堕胎后避孕 (PAC) 服务,特别是远程医疗. 改善咨询和获得LARC等首选方法对于明智的生殖选择至关重要.
科学领域:
- 生殖健康 生殖健康
- 远程医疗在医疗保健中的应用
- 避孕服务 避孕服务
背景情况:
- 堕胎后避孕 (PAC) 对于减少意外怀孕至关重要.
- 患者在堕胎后遇到难以获得首选避孕方法的挑战,特别是远程医疗.
- 远程医疗可能会限制提供某些避孕方法的机会.
研究的目的:
- 探索患者对PAC咨询和决策的看法.
- 通过使用远程医疗来为未来的PAC服务模型的开发提供信息.
- 识别障碍物和促进者进入堕胎后的避孕措施.
主要方法:
- 使用面试进行定性服务评估.
- 采访了15名接受远程医疗医疗堕胎 (妊娠长达12周) 的患者.
- 在数据分析中使用了反射性主题分析.
主要成果:
- 堕胎前的咨询对知情的避孕选择产生了积极的影响.
- 患者的决策受到了先前经历,情绪状态和对避孕药失败的恐惧的影响.
- 访问首选方法 (特别是LARC) 的障碍包括预约可用性和照顾职责. 人们赞赏LARC的快速任命.
- 患者希望灵活的远程咨询与个性化的专家互动相结合.
结论:
- 在远程医疗时代,灵活和可访问的PAC服务模式是必不可少的.
- 必须确保及时获得首选的避孕方法.
- 以患者为中心的方法是有效的堕胎后护理的关键.
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