得克萨斯州禁止堕胎后,堕胎援助基金的工作人员和志愿者担任患者导航员。

IF 3.4 2区 医学 Q1 DEMOGRAPHY
Perspectives on Sexual and Reproductive Health Pub Date : 2024-09-01 Epub Date: 2023-07-25 DOI:10.1363/psrh.12240
Kari White, Ophra Leyser-Whalen, Brooke Whitfield, Asha Dane'el, Alexis Andrea, Anna Rupani, Bhavik Kumar, Ghazaleh Moayedi
{"title":"得克萨斯州禁止堕胎后,堕胎援助基金的工作人员和志愿者担任患者导航员。","authors":"Kari White, Ophra Leyser-Whalen, Brooke Whitfield, Asha Dane'el, Alexis Andrea, Anna Rupani, Bhavik Kumar, Ghazaleh Moayedi","doi":"10.1363/psrh.12240","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Abortion assistance funds constitute an important part of the healthcare safety net by covering some of abortion patients' out-of-pocket costs. Few studies have examined the other ways abortion assistance fund staff and volunteers support callers who need help obtaining care.</p><p><strong>Methods: </strong>Between June and September 2020, we conducted in-depth interviews with 23 staff and volunteers at 11 local abortion assistance funds that helped Texans seeking abortion care following a March 2020 state executive order that prohibited most abortions. Interviewers explored respondents' experiences with callers whose appointments had been canceled or who traveled out of state and subsequent operational changes. We used both inductive and deductive codes in the thematic analysis.</p><p><strong>Results: </strong>Abortion assistance fund staff and volunteers bridged callers' information gaps about the services and financial resources available and helped create plans to secure care that accounted for callers' specific needs. They provided emotional support so callers felt it was possible to overcome logistical hurdles to get an abortion, even if that required out-of-state travel. Respondents described greater collaboration between Texas-based abortion assistance funds and out-of-state organizations to support callers' more complex logistical needs and increased costs. Some callers who encountered multiple barriers to care, including interpersonal violence, were unable to obtain an abortion, even with additional supports.</p><p><strong>Conclusions: </strong>Local abortion assistance funds worked with Texas callers to co-create person-centered plans for care and expanded inter-organization collaborations. Initiatives that bolster local assistance funds' infrastructure and capacity will be needed as the abortion access landscape becomes further restricted and complex.</p>","PeriodicalId":47632,"journal":{"name":"Perspectives on Sexual and Reproductive Health","volume":" ","pages":"235-243"},"PeriodicalIF":3.4000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10808264/pdf/","citationCount":"0","resultStr":"{\"title\":\"Abortion assistance fund staff and volunteers as patient navigators following an abortion ban in Texas.\",\"authors\":\"Kari White, Ophra Leyser-Whalen, Brooke Whitfield, Asha Dane'el, Alexis Andrea, Anna Rupani, Bhavik Kumar, Ghazaleh Moayedi\",\"doi\":\"10.1363/psrh.12240\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Abortion assistance funds constitute an important part of the healthcare safety net by covering some of abortion patients' out-of-pocket costs. Few studies have examined the other ways abortion assistance fund staff and volunteers support callers who need help obtaining care.</p><p><strong>Methods: </strong>Between June and September 2020, we conducted in-depth interviews with 23 staff and volunteers at 11 local abortion assistance funds that helped Texans seeking abortion care following a March 2020 state executive order that prohibited most abortions. Interviewers explored respondents' experiences with callers whose appointments had been canceled or who traveled out of state and subsequent operational changes. We used both inductive and deductive codes in the thematic analysis.</p><p><strong>Results: </strong>Abortion assistance fund staff and volunteers bridged callers' information gaps about the services and financial resources available and helped create plans to secure care that accounted for callers' specific needs. They provided emotional support so callers felt it was possible to overcome logistical hurdles to get an abortion, even if that required out-of-state travel. Respondents described greater collaboration between Texas-based abortion assistance funds and out-of-state organizations to support callers' more complex logistical needs and increased costs. Some callers who encountered multiple barriers to care, including interpersonal violence, were unable to obtain an abortion, even with additional supports.</p><p><strong>Conclusions: </strong>Local abortion assistance funds worked with Texas callers to co-create person-centered plans for care and expanded inter-organization collaborations. Initiatives that bolster local assistance funds' infrastructure and capacity will be needed as the abortion access landscape becomes further restricted and complex.</p>\",\"PeriodicalId\":47632,\"journal\":{\"name\":\"Perspectives on Sexual and Reproductive Health\",\"volume\":\" \",\"pages\":\"235-243\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10808264/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives on Sexual and Reproductive Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1363/psrh.12240\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/7/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"DEMOGRAPHY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives on Sexual and Reproductive Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1363/psrh.12240","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/25 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"DEMOGRAPHY","Score":null,"Total":0}
引用次数: 0

摘要

背景:人工流产援助基金承担了人工流产患者的部分自付费用,是医疗安全网的重要组成部分。很少有研究对堕胎援助基金工作人员和志愿者支持需要帮助获得护理的来电者的其他方式进行研究:在 2020 年 6 月至 9 月期间,我们对 11 个地方堕胎援助基金的 23 名工作人员和志愿者进行了深入访谈,这些基金在 2020 年 3 月州政府颁布禁止大多数堕胎的行政命令后为寻求堕胎护理的德克萨斯州人提供了帮助。访谈者探讨了受访者与预约被取消或前往州外的来电者打交道的经历,以及随后的运营变化。我们在主题分析中使用了归纳和演绎代码:人工流产援助基金的工作人员和志愿者弥补了来电者在服务和可用财务资源方面的信息缺口,并帮助制定了符合来电者具体需求的护理计划。他们为来电者提供情感支持,让他们觉得即使需要到州外旅行,也有可能克服后勤障碍进行人工流产。受访者描述了得克萨斯州堕胎援助基金与州外组织之间的更多合作,以支持来电者更复杂的后勤需求和更高的成本。一些求助者在获得护理方面遇到了多重障碍,包括人际暴力,即使获得了额外的支持,他们也无法获得人工流产:地方堕胎援助基金与德克萨斯州的求助者合作,共同制定了以人为本的护理计划,并扩大了组织间的合作。随着人工流产获取环境的进一步限制和复杂化,将需要加强地方援助基金基础设施和能力的倡议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abortion assistance fund staff and volunteers as patient navigators following an abortion ban in Texas.

Context: Abortion assistance funds constitute an important part of the healthcare safety net by covering some of abortion patients' out-of-pocket costs. Few studies have examined the other ways abortion assistance fund staff and volunteers support callers who need help obtaining care.

Methods: Between June and September 2020, we conducted in-depth interviews with 23 staff and volunteers at 11 local abortion assistance funds that helped Texans seeking abortion care following a March 2020 state executive order that prohibited most abortions. Interviewers explored respondents' experiences with callers whose appointments had been canceled or who traveled out of state and subsequent operational changes. We used both inductive and deductive codes in the thematic analysis.

Results: Abortion assistance fund staff and volunteers bridged callers' information gaps about the services and financial resources available and helped create plans to secure care that accounted for callers' specific needs. They provided emotional support so callers felt it was possible to overcome logistical hurdles to get an abortion, even if that required out-of-state travel. Respondents described greater collaboration between Texas-based abortion assistance funds and out-of-state organizations to support callers' more complex logistical needs and increased costs. Some callers who encountered multiple barriers to care, including interpersonal violence, were unable to obtain an abortion, even with additional supports.

Conclusions: Local abortion assistance funds worked with Texas callers to co-create person-centered plans for care and expanded inter-organization collaborations. Initiatives that bolster local assistance funds' infrastructure and capacity will be needed as the abortion access landscape becomes further restricted and complex.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信