A Health Professional Mentorship Platform to Improve Equitable Access to Abortion: Development, Usability, and Content Evaluation.

IF 2.6 Q2 HEALTH CARE SCIENCES & SERVICES
JMIR Human Factors Pub Date : 2025-02-19 DOI:10.2196/63364
Abdul-Fatawu Abdulai, Cam Duong, Eleni Stroulia, Efrat Czerniak, Rachel Chiu, Aashay Mehta, Ken Koike, Wendy V Norman
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引用次数: 0

Abstract

Background: Access to safe abortion care is a reproductive right for all individuals across Canada. Underserved populations are overrepresented among those with unintended pregnancies and particularly those seeking abortion. Yet, few resources exist to help health care and allied helping professionals provide culturally competent and gender-affirming abortion care to such a population group.

Objective: This project aimed to redesign and adapt an existing subscription-based medication abortion mentorship platform into a culturally appropriate and gender-affirming open-access website of curated health professional resources to promote equitable, accessible, high-quality abortion care, particularly for underserved populations.

Methods: We drew on a user-centered design framework to redesign the web platform in 5 iterative phases. Health care and allied helping professionals were engaged in each stage of the development process including the initial design of the platform, curation of the resources, review of the content, and evaluation of the wireframes and the end product.

Results: This project resulted in an open-access bilingual (English and French) web-based platform containing comprehensive information and resources on abortion care for health care providers (physicians, nurse practitioners, and pharmacists) and allied helping professionals (midwives, medical officers, community workers, and social workers). The website incorporated information on clinical, logistical, and administrative guidance, including culturally competent and gender-affirming toolkits that could equip health care professionals with the requisite knowledge to provide abortion care for underserved populations.

Conclusions: This platform contains resources that can increase the competencies of health care professionals to initiate and sustain culturally and contextually appropriate abortion care for underserved groups while clarifying myths and misconceptions that often militate against initiating abortion. Our resource also has the potential to support equitable access to high-quality abortion care, particularly for those among underserved populations who may have the greatest unmet need for abortion services yet face the greatest barriers to accessing care.

一个健康专业指导平台,以改善公平获得堕胎:发展,可用性和内容评估。
背景:获得安全堕胎护理是加拿大所有个人的生殖权利。服务不足的人群在意外怀孕,特别是寻求堕胎的人群中所占比例过高。然而,帮助保健和相关帮助专业人员向这一人口群体提供具有文化能力和肯定性别的堕胎护理的资源很少。目的:本项目旨在重新设计和调整现有的基于订阅的药物流产指导平台,使其成为一个文化上适当和性别肯定的开放获取网站,提供精心策划的卫生专业资源,以促进公平、可获取、高质量的流产护理,特别是对服务不足的人群。方法:采用以用户为中心的设计框架,分5个迭代阶段对web平台进行重新设计。医疗保健和相关的帮助专业人员参与了开发过程的每个阶段,包括平台的初始设计、资源管理、内容审查以及线框图和最终产品的评估。结果:该项目建立了一个开放获取的双语(英语和法语)网络平台,其中包含医疗保健提供者(医生、执业护士和药剂师)和相关帮助专业人员(助产士、医务人员、社区工作者和社会工作者)关于堕胎护理的全面信息和资源。该网站纳入了关于临床、后勤和行政指导的信息,包括具有文化能力和性别肯定的工具包,这些工具包可以使保健专业人员掌握必要的知识,为服务不足的人口提供堕胎护理。结论:该平台包含的资源可以提高卫生保健专业人员的能力,为服务不足的群体发起和维持文化上和环境上适当的堕胎护理,同时澄清往往不利于发起堕胎的神话和误解。我们的资源也有可能支持公平获得高质量的堕胎护理,特别是那些服务不足的人群,他们对堕胎服务的需求可能最大,但在获得护理方面面临最大的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Human Factors
JMIR Human Factors Medicine-Health Informatics
CiteScore
3.40
自引率
3.70%
发文量
123
审稿时长
12 weeks
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