响应式设计,当地现实:对计划生育的过程评估 提升
Jami Baayd1, Caitlin Quade1, Alexandra Gero1
1ASCENT Center for Reproductive Health, Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, United States.
犹他州的计划生育提升 (FPE) 通过适应当地需求和环境,改善了避孕措施的获取. 诊所工作人员变得更加以人为中心,强调了定制,灵活的生殖健康举措的重要性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 避孕措施旨在改善获得,但医疗保健机构的实施过程需要进一步研究.
- 了解实施是优化公共卫生计划有效性的关键.
研究的目的:
- 在犹他州进行计划生育提升 (FPE) 计划的过程评估.
- 记录FPE的实施,环境影响和影响机制.
主要方法:
- 混合方法的FPE过程评估涉及犹他州28家诊所.
- 使用实施研究综合框架对员工重点小组进行定性纵向分析.
主要成果:
- 外部因素,如犹他州的生殖健康格局和COVID-19大流行,对实施产生了重大影响.
- 计划的适应性,诊所的结构特征和合作伙伴的动机是关键因素.
- 提供者的观点和组织文化转向了更加以人为中心的方法.
结论:
- 成功实施需要能够适应不同地方,州和国家环境的程序.
- 根据独特的诊所和社区需求量身定制干预措施,以及合作伙伴的承诺,推动了扩大避孕准入的成功.
- 倡议可以在医疗保健机构内培养一种更加以人为中心的方法.
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