"巩固我们在历史正确的一面的位置":初级保健对米费普里斯顿供应后多布斯的观点
Hannah Shireman1, Annie Feldkamp2, Valeria Hernandez1
1Department of Family Medicine, University of Chicago, Chicago, Illinois.
概括
在多布斯决定之后,临床医生和工作人员有动力将米费普里斯顿纳入初级保健,与以患者为中心的价值观保持一致,尽管政治不确定性. 这突显了扩大药物堕胎准入的机会.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 生殖健康护理 生殖健康护理
背景情况:
- 多布斯诉杰克逊妇女健康组织的决定消除了联邦对堕胎的权利.
- 这一裁决给获得生殖保健服务,包括药物堕胎带来了重大挑战.
研究的目的:
- 探索临床医生和工作人员关于在多布斯后的初级保健机构中整合和提供米费普里斯的观点.
- 了解多布斯决定对药物流产服务的动机和实施的影响.
主要方法:
- 这是一项定性研究,涉及41次与医疗保健专业人员和工作人员的半结构面试.
- 参与者来自三家中西部诊所,参与了一项学习合作,重点关注mifepristone实施 (2022年9月至2023年8月).
- 使用归纳和演技术进行主题分析,对转录的采访进行了应用.
主要成果:
- 多布斯的决定培养了紧迫感,增加了克服米费普里斯顿供应障碍的动机.
- 参与者认为提供mifepristone与初级保健原则相一致,例如以患者为中心和公平获取.
- 政治气候和法律挑战造成了有关药物堕胎的制度和个人不确定性.
结论:
- 多布斯的决定激发了初级保健诊所的动力,以扩大对堕胎和早期妊娠丧失护理的准入.
- 初级保健提供者可以利用对堕胎限制的担忧,在他们的环境中推进获得mifepristone服务的机会.
更多相关视频
05:36Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
Published on: October 4, 2024
1.1K
07:36Analysis of Raw and Processed Cyperi Rhizoma Samples Using Liquid Chromatography-Tandem Mass Spectrometry in Rats with Primary Dysmenorrhea
Published on: December 23, 2022
1.9K
相关概念视频
01:26Drug Administration and Therapy Phases: Overview
1.2K
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
1.2K
01:24Gonadal and Placental Hormones
2.7K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
2.7K
01:22Birth Control Methods
5.8K
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
5.8K
01:02Prescription, Nonprescription and Orphan Drugs
1.2K
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.2K
01:30Hormonal Control of the Ovarian Cycle
6.4K
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
6.4K
01:15Drug Dosage Regimen: Overview
4.3K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
4.3K