在受过培训的临床医生中提供程序性堕胎护理的障碍:对堕胎培训计划的评估
Julia Rollison1, Skye A Miner2, Zachary Predmore2
1RAND, Arlington, VA, United States.
Contraception
|April 12, 2025
概括
临床医生在提供手术性堕胎护理培训后面临重大结构和制度障碍. 培训计划应提供网络和就业支持,以帮助提供者克服这些挑战.
科学领域:
- 医学教育 医学教育
- 生殖健康 生殖健康
- 医疗保健政策 医疗保健政策
背景情况:
- 流程性堕胎护理需要专门的培训.
- 完成堕胎培训计划的临床医生在实际实施中面临挑战.
- 了解这些挑战对于改善堕胎准入至关重要.
研究的目的:
- 为了确定临床医生在接受培训后提供手术性堕胎护理时遇到的障碍和促进者.
- 探索专业和机构因素如何影响堕胎护理的提供.
主要方法:
- 来自对堕胎培训计划进行更大规模评估的数据分析.
- 半结构面试和年度计划后调查 (07/2020-01/2024).
- 包括至少完成两次调查的项目参与者.
主要成果:
- 其中包括44名医生 (妇科,家庭医学).
- 三分之一提供了程序性堕胎护理在6个月后和之后的随访;三分之一没有.
- 障碍物和促进者随着实践的建立而演变;政策,职业阶段和专业影响了护理的提供.
结论:
- 结构和制度障碍严重阻碍了培训后的堕胎护理提供.
- 家庭医学医生需要特定的机构支持.
- 加强网络和就业支持对于课程毕业生至关重要.
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