在美国扩大用户注射避孕药的障碍和促进者
Chase Clark1, An-Lin Cheng1, Laura Creason1
1School of Medicine, University of California, Davis, Sacramento, California; Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri; and Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
O&G open
|January 9, 2026
概括
在计划生育专家中,人们对皮下储存的美德酸 (DMPA) 进行自我管理的认识很高,但处方率很低. 制度和系统因素对这种避孕选择的认识和提供都有很大的影响.
科学领域:
- 避孕技术 避孕技术的使用
- 生殖健康政策 生殖健康政策
- 医疗保健 专业教育 医疗保健 专业教育
背景情况:
- 皮下储存的美德乙酸 (DMPA) 提供了一个由用户管理的长效可逆避孕选择.
- 了解影响其处方的因素对于扩大避孕措施的获取至关重要.
研究的目的:
- 在计划生育专家中识别促进者和障碍者,以处方皮下DMPA进行自我管理.
- 分析影响意识和处方实践的专业和机构因素.
主要方法:
- 一项混合方法研究,涉及调查 (N=422) 和采访 (N=34) 与计划生育专家.
- 数据收集的重点是关于皮下DMPA的意识,知识和当前的处方做法.
主要成果:
- 虽然74.5%的专家知道皮下DMPA的存在,但只有34.8%的专家积极开处方.
- 意识与专业化 (OB/GYN),实践环境 (标题X,计划生育) 和患者数量有关.
- 处方由特定的临床工作流程和保险覆盖提供便利,但受到州堕胎限制的阻碍.
结论:
- 皮下DMPA的意识受到专业和机构因素的影响.
- 处方障碍主要是制度和系统性的,包括政策和覆盖范围的问题.
- 促进者跨越专业的人口统计学,患者的看法,机构支持和政府政策.
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