BEYOND BOUNDARIES: NAVIGATING CHALLENGES AND CHARTING THE FUTURE OF REPRODUCTIVE HEALTHCARE IN THE POST-ROE LANDSCAPE

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110598

TMH Hoang, R DeLuna, E Albertson, A Wong, T Ferrera, A Santoyo, C Ivaturi

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引用次数: 0

Abstract

Objectives

This study aims to explore the challenges of reproductive healthcare providers post Roe v Wade. We aim to amplify stakeholders’ recommendations and voice to design sustainable solutions to address challenges in reproductive care.

Methods

Semi-structured protocol and reflexive thematic analysis were used to conduct and analyze focus groups. To date, our sample included a total sample of 25 participants, who self-identified as reproductive healthcare providers across the US and either worked or currently work in a state where abortion provision is legal.

Results

Major themes showed that providers relying on internal networks and/or online professional groups for social support, since local community support was often lacking. Providers also expressed concern for personal safety in clinical setting, and some discussed their process to move to less restrictive states, where they have more peers and clinic support with lower burden of care coordination. Providers reported increased personal and staff burnout because of higher demand and burden of care coordination while maintaining the safety and continuous care for patients. Providers discussed feeling uncertainty about the future of abortion care given the changing geopolitical landscape and its implications on future training. Most providers expressed hope for future clinicians including community building using online resources/groups, commitment to the cause, and continued resistance.

Conclusions

This study has implication to improve support for our family planning communities. Potential solutions can include increasing social and practical support as well as utilizing technology and safe online spaces to facilitate coordination of care and increase resources for all stakeholders.

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超越界限：在 "后罗伊 "格局中应对挑战并规划生殖保健的未来

本研究旨在探讨罗伊诉韦德案后生殖保健提供者所面临的挑战。我们旨在扩大利益相关者的建议和声音，以设计可持续的解决方案来应对生殖保健方面的挑战。方法采用半结构化协议和反思性主题分析来开展和分析焦点小组。迄今为止，我们的样本共包括 25 位参与者，他们自我认同为美国各地的生殖医疗服务提供者，曾在或目前在堕胎合法的州工作。结果主要主题显示，服务提供者依靠内部网络和/或在线专业团体获得社会支持，因为当地社区往往缺乏支持。医疗服务提供者还表达了对临床环境中人身安全的担忧，一些医疗服务提供者讨论了她们搬到限制较少的州的过程，因为在那里她们有更多的同伴和诊所支持，护理协调负担较轻。医疗服务提供者报告说，由于护理协调的要求和负担越来越高，同时还要保证患者的安全和持续护理，个人和员工的职业倦怠增加了。鉴于不断变化的地缘政治格局及其对未来培训的影响，医疗服务提供者讨论了对堕胎护理未来的不确定性。大多数医疗服务提供者表达了对未来临床医生的希望，包括利用在线资源/小组建立社区、致力于这项事业以及继续抵抗。潜在的解决方案可以包括增加社会和实际支持，以及利用技术和安全的在线空间来促进护理协调和增加所有利益相关者的资源。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.