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系统地比较了三个美国诊所的实施策略,这些诊所扩大了自我注射可注射避孕的使用范围
Jennifer Karlin1, Tammy Bennett2, Leah Michael3
1University of California, San Francisco, Department of Family and Community Medicine, San Francisco, CA, United States.
在COVID-19大流行期间,美国有三家诊所扩大了自给自取的仓库美德酸-皮下 (DMPA-SC) 的获取范围. 关键策略包括提供者教育,患者咨询,工作流调整和解决DMPA-SC.支付障碍.
科学领域:
- 生殖健康实施科学.
- 公共卫生计划评估.
- 获得和提供医疗保健.
背景情况:
- 由于COVID-19大流行扰乱了医疗保健的准入,需要创新的服务交付模式.
- 自行管理的DMPA-SC提供了一个方便的避孕选择.
- 扩大DMPA-SC的获取范围符合以患者为中心的生殖健康保健建议.
研究的目的:
- 描述和比较三个美国诊所使用的实施策略,以扩大自我管理的DMPA-SC访问.
- 确定在公共卫生危机期间实施DMPA-SC自我管理的成功方法和挑战.
主要方法:
- 使用了实施变革的专家建议 (ERIC) 框架.
- 进行了对三个美国诊所的比较案例研究分析.
- 专注于在COVID-19大流行期间扩大自主管理的DMPA-SC的项目.
主要成果:
- 共同的实施策略包括提高提供者的意识和DMPA-SC自我管理的教育.
- 根据个体需求量身定制的患者教育和咨询至关重要.
- 讨论了诊所工作流程,保险覆盖,支付流程和处方履行方面的变化.
- 持续面临的挑战包括缓解支付障碍和扩大超越实体诊所网站的访问.
结论:
- 描述的实施策略有可能对其他美国诊所进行概括.
- 成功扩展DMPA-SC的自我管理需要一个多方面的方法.
- 这些策略可以帮助美国提供者满足可访问的自我管理的避孕措施的建议.
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