"全面护理":在社区医疗中心将孕产妇避孕护理与婴儿健康检查联系起来的医疗服务提供者观点。

IF 3 Q1 PRIMARY HEALTH CARE
Amanda Knepper, Alejandra Zocchi, Sadia Haider, Rachel Caskey
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引用次数: 0

摘要

背景:怀孕间隔期(IPI)过短与妇女和婴儿的不良健康后果有关,而低收入妇女怀孕间隔期过短的比例更高。为产后(PP)妇女提供及时的避孕护理是一个重要的解决方案。然而,需要采取以患者为中心的方法来促进护理服务的获取:目的:探讨社区卫生中心(CHC)工作人员和医疗服务提供者对实施一项临床试验的看法,该试验在婴儿健康访视(WBV)时为有 0 到 6 个月婴儿的妇女提供共同安排的婴儿健康/产妇避孕护理:美国 2 个州 7 个不同社区健康中心的 18 名参与者(医疗服务提供者、员工和管理人员)完成了半结构化电话访谈。采用混合主题分析法对录音进行了转录和分析:人们认为,提供联合预约就诊有利于及时进行 PP 避孕、方便就医并鼓励在 PP 期间考虑计划生育。然而,医疗服务提供者和医务人员对在 WBV 开始进行计划生育和避孕护理对话感到不适,这是一个突出的障碍:结论:为孕产妇提供完善的避孕护理服务可促进 PP 期妇女及时获得避孕药具,从而减少意外短效 IPI。需要根据具体情况制定全面的培训、持续的支持和以患者为中心的实施策略,并听取护理团队的意见,以确保在 WBV 促进避孕护理谈话的能力和舒适度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"An Act of Complete Care": Provider Perspectives on Linking Maternal Contraceptive Care With Well-Baby Visits in Community Health Centers.

Background: Short inter-pregnancy interval (IPI) is associated with adverse health outcomes for women and infants, and low-income women experience disproportionate rates of short IPI. An essential solution is providing postpartum (PP) women with timely contraceptive care. However, patient-centered approaches for facilitating care access are needed.

Objective: To explore Community Health Center (CHC) staff and provider perspectives on the implementation of a clinical trial offering co-scheduled well-infant/maternal contraceptive care for women with infants 0 to 6 months at the Well-Baby Visit (WBV).

Method: Eighteen participants (providers, staff, and administrators) representing 7 diverse CHC sites in 2 U.S. states completed semi-structured telephone interviews. Audio-recordings were transcribed and analyzed using hybrid thematic analysis.

Results: Offering co-scheduled visits was perceived as beneficial for facilitating timely PP contraception, convenient care access, and encouraging family planning considerations during the PP period. However, provider and staff discomfort with initiating family planning and contraceptive care conversations at the WBV emerged as a salient barrier.

Conclusion: Paired approaches to well-infant/maternal contraceptive care may promote increased access to timely contraception for PP women, possibly reducing unintended short IPI. Comprehensive training, ongoing support, and patient-centered implementation strategies tailored to context and developed with care team input are needed to ensure competency and comfortability with facilitating contraceptive care conversations at the WBV.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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