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实施SINC (自我识别的避孕需求) 查:一种混合方法案例研究.

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概括
此摘要是机器生成的。

对所有性别的适应性自我识别的避孕需求 (SINC) 查是可以管理和接受的,特别是在分配男性出生时 (AMAB) 患者中. 这种方法使避孕护理正常化,并确定了初级保健机构的未满足需求.

关键词:
青少年 青少年 青少年在出生时被分配为男性.避孕药是一种避孕药,用于避孕.实践变革实施实施主要护理是指初级护理.查检查 查检查 查检查

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科学领域:

  • 生殖健康 生殖健康
  • 初级保健 实施 科学 初级保健 实施 科学
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 常规避孕查通常仅限于分配给女性分娩患者.
  • 被分配为出生时男性 (AMAB) 的人缺乏典型的避孕讨论机会.
  • 调整查工具对于包容性生殖健康保健至关重要.

研究的目的:

  • 检查在初级保健中对所有性别 (12-44岁) 进行适应的自我识别的避孕需求 (SINC) 查的实施情况.
  • 评估查率,实施促进者/挑战,以及AMAB患者的接受度.
  • 为在不同患者群体中实施SINC提供可操作的指导.

主要方法:

  • 混合方法案例研究,使用电子健康记录 (EHR) 数据和工作人员/患者访谈.
  • 混合效应模型分析了根据地点,性别,年龄和语言的查和需求率.
  • 融合设计整合了EHR和定性访谈的发现.

主要成果:

  • 随着时间的推移,查率显著增加,在启动后15-18个月达到39.0%-79.0%.
  • 在分娩时被分配的女性患者中,查率为56.4%,在AMAB患者中为44.6%.
  • 工作人员和AMAB患者发现适应-SINC查可管理,可接受和有益,患者报告舒适.

结论:

  • 适应性SINC查是初级保健中所有性别的可管理和可接受的干预措施.
  • 实施策略应侧重于建立买入,调整工作流程,并设定现实的时间表.
  • 这种适应的SINC方法规范了避孕护理,并有效地确定了未满足的需求,为组织提供了有价值的见解.