在退伍军人卫生管理局的长期作用可逆避孕措施的系统级预测器
Zoe H Pleasure1,2, Siobhan S Mahorter1, Rachel Hunter-Merrill1
1Center of Innovation for Veteran Centered and Value Driven Care (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.
长效可逆避孕 (LARC) 规定在退伍军人卫生管理局 (VA) 系统中存在显著差异. 增加妇科医生人员和社区诊所LARC的可用性可以改善妇女退伍军人的机会.
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
- 退伍军人事务 退伍军人事务
背景情况:
- 长效可逆避孕 (LARC) 方法在预防怀孕方面非常有效.
- 了解医疗保健系统内LARC供应的变化对于识别接入障碍至关重要.
研究的目的:
- 评估140个退伍军人卫生管理局 (VA) 医疗保健系统中LARC方法的可用性.
- 确定与低LARC供应相关的系统级因素.
主要方法:
- 全国VA电子健康记录 (EHR) 数据的横截面分析.
- 在每个系统中,为能够怀孕的退伍军人计算了LARC供给的百分比.
- 检查了低供应和妇科医生人员,妇女健康诊所利用率和社区门诊 (CBOC) 中LARC可用性之间的关联.
主要成果:
- 中位数LARC供应量为4.9%,在VA系统中存在显著差异 (0%12.0%).
- 增加妇科医生人员数量与低LARC供应的可能性降低有关.
- 在至少一个CBOC中的LARC供应显著降低了系统供应低的概率.
结论:
- 在VA医疗保健系统内,LARC提供存在重大差异.
- 调查结果表明,女性退伍军人中LARC方法的潜在进入障碍.
- 专注于妇科医生人员和CBOC LARC可用性的干预措施可能会改善获得.
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