提高获得紧急避孕的机会:来自犹他州无成本计划的结果
Erica Torres1, Sarah Elliott1, Gentry Carter1
1University of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
Contraception
|November 8, 2025
概括
消除成本和提供者访问障碍增加了紧急避孕 (EC) 的普及. 患者更喜欢乌利普里斯塔酸盐,更有效的EC方法,当提供没有先前访问时.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 紧急避孕 (EC) 准入对于生殖健康至关重要.
- 成本和提供者访问要求可能是EC采用的重大障碍.
- 有两种经FDA批准的EC方法可用:莱沃诺格斯特和乌利普里斯塔酸盐.
研究的目的:
- 评估无成本紧急避孕 (EC) 方法的采用情况.
- 为了评估患者在levonorgestrel和ulipristal乙酸盐之间的偏好.
- 确定消除成本和获取障碍对EC利用的影响.
主要方法:
- 在犹他大学药房进行了一项研究,向18岁以上的犹他州居民免费提供levonorgestrel和ulipristal酸盐.
- 通过MyChart患者门户便于访问,绕过了先前提供者访问的需要.
- 分析了无标识的电子健康记录数据,以评估需求,人口统计和方法偏好.
主要成果:
- 在两年内,共收到2559份申请.
- 尤利普里斯塔乙酸盐 (57.2%) 优于莱文诺格斯特勒 (42.8%).
- 面对面的接送量增加,而邮件递送量减少,这表明可访问性越来越高.
结论:
- 消除成本和提供者访问障碍显著增加了EC采用.
- 由于其更高的疗效,患者偏好优利普里斯塔酸盐.
- 该模型展示了一种可行的方法,通过电子门户和邮件发送来实现公平的EC接入.
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