Women's experiences of self-referral to an abortion service: qualitative study
Women's experiences of self-referral to an abortion service: qualitative study
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DOI：
10.1136/bmjsrh-2019-200568
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发表时间：
2021-01-01
影响因子：
3.3
通讯作者：
Cameron, Sharon
中科院分区：
文献类型：
--
作者：
Low, Shin Thong;Chen, Zhong Eric;Cameron, Sharon
英国的指导方针建议，妇女应该能够自行选择堕胎服务。2016年，苏格兰爱丁堡的堕胎服务引入了自我推荐系统，作为女性的一种选择。妇女可以在办公时间拨打专门的电话，与在堕胎服务部门工作的行政助理交谈，后者为她们提供下一个可以在堕胎服务部门就诊的预约。本研究旨在通过调查其对妇女转诊过程经验的影响来评估堕胎的自我转诊服务。方法对苏格兰爱丁堡一家堕胎专科医院的妇女进行了21次半结构化访谈。采访内容逐字记录，并按主题进行分析。访谈的重点是妇女在转诊过程中的经历。结果访谈产生了三个主题，包括选择自我转诊的原因、自我转诊的经历和使用自我转诊的挑战。选择自我转诊的原因与方便、隐私和自主性有关。妇女们发现自我转诊的经历是愉快的、不带评判和以病人为中心的，自我转诊为她们预约专门的堕胎服务做好了准备。然而，一些女性感到匆忙，自我推荐使她们急于参加预约。面临的挑战是难以接通电话，不同的人需要不同程度的支持，以及对自我转诊选择的认识。结论妇女重视自我转诊的选择。妇女们认为，应该扩大这项服务，以增加提供的机会，并在社区内更广泛地向妇女推广这项服务。
Background Guidelines from the UK recommend that women should be able to self-refer to abortion services. In 2016, a self-referral system was introduced to the abortion service in Edinburgh, Scotland, as an option for women. Women could telephone a dedicated phone line during office hours and speak to an administrative assistant working in the abortion service who provided them the next available appointment to be seen in the service. This study aimed to evaluate a self-referral service to abortion by investigating its impact on women's experiences of the referral process.Methodology 21 semistructured interviews of women attending a specialist abortion service in Edinburgh, Scotland, were conducted. Interviews were transcribed verbatim and thematically analysed. The interviews focused on women's experience of the referral process.Results Three main themes arose from the interviews, including reasons for choosing self-referral, experience of self-referral and challenges to using self-referral. Reasons for choosing self-referral were related to convenience, privacy and autonomy. Women found the experience of self-referral to be pleasant, non-judgemental and patient-centred, and self-referral prepared them for the appointment at the specialist abortion service. However, some women felt rushed, and self-referral made them anxious to attend the appointment. Challenges were difficulty with getting through on telephone lines, varying levels of support required for different individuals and awareness about the option of self-referral.Conclusion Women valued the option of self-referral. Women felt that the service should be expanded to increase availability,and promoted to women more widely within the community .