在一个大型的综合医疗保健系统中评估口服避孕药的电子访问利用和有效性
Eve Zaritsky1, Dana Sax1, Emily Bolton1
1Obstetrics and Gynecology and Emergency Medicine, Kaiser Permanente Oakland Medical Center, Oakland, and the Division of Research, Kaiser Permanente Oakland Medical Center, Pleasanton, California.
O&G open
|October 13, 2025
概括
与办公室内访问相比,口服避孕护理的电子访问提供了及时访问和更快的药物采集. 这种异步远程医疗方法增加了避孕措施的可用性,减少了短期随访的需要.
科学领域:
- 生殖健康 生殖健康
- 远程医疗远程医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 口服避孕护理对于生殖健康至关重要.
- 获得及时的避孕服务可能是一个挑战.
- 远程医疗模式为改善护理提供提供了潜在的解决方案.
研究的目的:
- 为了比较口服避孕护理的结果在不同的访问模式:办公室,电话,视频和电子访问.
- 评估口服避孕药护理的准入,及时性和后续需求.
- 确定以患者为中心的避孕护理交付的最佳方式.
主要方法:
- 对23122名18至50岁的寻求口服避孕护理的妇女进行了回顾性队列研究.
- 分析2023年北加州凯泽永久医院患者主动接触的情况.
- 用于比较结果的多变量回归,包括避孕顺序和取药率,以及按访问方式取药时间,调整共变量.
主要成果:
- 电子访问显示了最高的避孕订单调整率 (92.0%) 和最低的需要7天的面对面随访.
- 包括电子访问,电话和视频在内的远程医疗模式显示,与办公室访问相比,避孕药采集率更高.
- 与办公室访问相比,电子访问与更快的避孕订单 (11.3天更早) 和接收 (9.5天更早) 相联系.
结论:
- 电子访问提供了及时的,以患者为中心的口服避孕护理方法,改善了订单和接收时间,同时减少了短期随访需求.
- 异步远程医疗,如电子访问,代表了改善获得基本避孕服务的重要机会.
- 远程医疗模式在优化生殖健康服务的提供方面表现有前途.
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