质量非指导性怀孕选择咨询的特点和决定因素:范围审查
Kari Dee Vallury1, Amanda Asher2, Olivia Sarri2
1Children by Choice Assn Inc, Ground floor, 349 Coronation Drive, Milton, Qld 4064, Australia; and Griffith University School of Applied Psychology, Griffith University, Mount Gravatt, Qld 4122, Australia.
Sexual health
|January 30, 2025
概括
非指导性的怀孕选择咨询 (POC) 确保了怀孕决策的高质量,非判断性的支持. 接入和质量受到提供商,组织和法律因素的重大影响,特别是对于边缘化个体.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 非指导性怀孕选择咨询 (POC) 对面临怀孕结果决定的人来说至关重要.
- 大约25%的意外怀孕或寻求堕胎护理的人使用POC.
- 关于非指令性POC质量和可访问性的全球证据需要综合.
研究的目的:
- 综合全球关于获得优质非指导性怀孕选择咨询的证据和特征.
- 确定影响POC提供和质量的决定因素.
- 突出 POC 边缘化群体获取机会的差异.
主要方法:
- 2011-2023年期间发表的初级研究文章的系统审查.
- 根据PRISMA指南,搜索了五个健康数据库.
- 12项主题综合包括了针对POC提供,经验和特征的研究.
主要成果:
- 四个主要主题出现了:质量特征,提供者决定因素,患者因素和组织/法律决定因素.
- 多个层面的与堕胎相关的价值观和政策是POC获取和质量的重要决定因素.
- 质量POC的定义是关于所有选项的非指令性,同情的,非判断性的和尊重的讨论.
- 提供者,组织和法律因素在边缘化孕妇的POC获取方面造成了差异.
结论:
- 提供者,组织和法律因素显著影响非指令性POC的访问和质量,特别是对于边缘化群体.
- 需要对美国以外的POC访问和质量进行进一步的研究.
- 提高医疗保健专业人员的技能和建立推途径对于澳大利亚普遍获得生殖健康保健至关重要.
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