澳大利亚堕胎护理的经验:一项质量研究,检查了多个维度的访问权限
Sethini Wickramasinghe1, Jane Fisher1, Angela Taft2
1Global and Women's Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
BMC pregnancy and childbirth
|October 7, 2024
概括
在澳大利亚,堕胎的障碍包括缺乏信息,耻辱,长期等待和成本. 改善信息,减少等待时间和确保不判断性护理对于更好的性和生殖健康服务至关重要.
科学领域:
- 生殖健康 生殖健康
- 获得医疗保健 获得医疗保健 获得医疗保健
- 健康的社会决定因素
背景情况:
- 普遍获得性和生殖健康服务是全球优先事项.
- 堕胎获取障碍仍然存在,包括法律限制,成本,耻辱和有限的信息.
- 澳大利亚的堕胎合法化背景仍然存在难以获得的挑战.
研究的目的:
- 识别澳大利亚堕胎护理获取障碍和促进者的障碍.
- 了解寻求堕胎护理的个人的生活经历.
- 为改善堕胎准入的倡议提供信息.
主要方法:
- 澳大利亚堕胎准入的定性现象学研究 (2020年3月至2022年12月).
- 通过社交媒体和诊所传单招聘深入访谈.
- 分析将经验映射到Levesque等人. 患者为中心的访问框架 (可接近性,可接受性,可用性,可负担性,适当性).
主要成果:
- 参与者缺乏关于获得堕胎服务的信息.
- 与医疗保健提供者的经验各不相同,有些人报告了耻辱感,而另一些人则支持.
- 重要障碍包括区域参与者的长途旅行,延长的等待时间和财务压力.
- 参与者经常期望判断性护理,许多人遇到了不同情的互动.
结论:
- 寻求堕胎的人面临着多方面的障碍,强调需要系统性改进.
- 倡议应侧重于使堕胎正常化,提供准确的信息,并减少等待时间和成本,特别是对于农村人口.
- 提高劳动力对高质量,不判断性护理的准备度,并纳入消费者的声音,对于克服进入障碍至关重要.
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