Telemedicine for contraceptive counseling: An exploratory survey of US family planning providers following rapid adoption of services during the COVID-19 pandemic
Telemedicine for contraceptive counseling: An exploratory survey of US family planning providers following rapid adoption of services during the COVID-19 pandemic
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DOI：
10.1016/j.contraception.2020.11.006
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发表时间：
2021-02-03
期刊：
影响因子：
2.9
通讯作者：
Levi, Erika E.
中科院分区：
文献类型：
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作者：
Stifani, Bianca M.;Avila, Karina;Levi, Erika E.
目标：在 COVID-19 大流行期间，许多临床医生开始提供远程医疗服务。本研究的目的是描述美国计划生育服务提供者在此期间迅速采用远程医疗进行避孕咨询的经验。研究设计：这是一项针对在美国执业的计划生育服务提供者的横断面网络调查。结果：共有 172 名服务提供者完成了调查（响应率为 34%）。其中，156 家 (91%) 在调查前的 2 个月内提供了远程医疗服务。大多数人（78%）对远程医疗不熟悉。大约一半 (54%) 转介不到四分之一的避孕患者进行亲自就诊，53% 表示最常见的转诊原因是长效可逆避孕药 (LARC) 插入。大多数提供者强烈同意远程医疗就诊是提供避孕咨询的有效方式（80%），并且应在大流行后扩大这项服务（84%）。如果在疫情结束后被要求提供远程医疗就诊，64% 的提供者会非常高兴。许多提供者使用个人电话或智能手机进行远程医疗就诊，但表示理想的设备是工作用的电脑、平板电脑或手机。超过一半 (59%) 的服务提供者更喜欢视频而不是电话就诊。 结论：美国的计划生育临床医生报告说，在 COVID-19 大流行的早期阶段，他们在远程医疗避孕咨询方面获得了积极的体验，并认为应该扩大这项服务。临床医生似乎更喜欢使用工作配发的设备并进行视频而不是电话就诊。 (C) 2020 Elsevier Inc. 保留所有权利。
Objective: During the COVID-19 pandemic, many clinicians started offering telemedicine services. The objective of this study is to describe the experience of US family planning providers with the rapid adoption of telemedicine for contraceptive counseling during this period.Study design: This is a cross-sectional web-based survey of family planning providers practicing in the United States.Results: A total of 172 providers completed the survey (34% response rate). Of these, 156 (91%) provided telemedicine services in the 2 months preceding the survey. Most (78%) were new to telemedicine. About half (54%) referred less than a quarter of contraception patients for in-person visits, and 53% stated that the most common referral reason was long-acting reversible contraceptive (LARC) insertion. A majority of providers strongly agree that telemedicine visits are an effective way to provide contraceptive counseling (80%), and that this service should be expanded after the pandemic (84%). If asked to provide telemedicine visits after the pandemic, 64% of providers would be very happy about it. Many providers used personal phones or smartphones to conduct telemedicine visits but stated that ideal devices would be work-issued computers, tablets, or phones. More than half (59%) of providers prefer video over phone visits.Conclusions: Family planning clinicians in the United States reported a positive experience with telemedicine for contraceptive counseling during the early stage of the COVID-19 pandemic and believe that this service should be expanded. Clinicians seem to prefer using work-issued devices and conducting video rather than phone visits. (C) 2020 Elsevier Inc. All rights reserved.