Women's experiences of a telemedicine abortion service (up to 12 weeks) implemented during the coronavirus (COVID-19) pandemic: a qualitative evaluation.
Women's experiences of a telemedicine abortion service (up to 12 weeks) implemented during the coronavirus (COVID-19) pandemic: a qualitative evaluation.
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DOI：
10.1111/1471-0528.16813
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Harden J
中科院分区：
文献类型：
--
作者：
Boydell N;Reynolds-Wright JJ;Cameron ST;Harden J
探索苏格兰妇女在怀孕 12 周之前在家接受药物流产的经历，通过为应对冠状病毒 (COVID-19) 大流行而实施的远程医疗流产服务提供服务，以确定需要改进的领域并为服务提供提供信息。定性访谈研究。苏格兰一个国家卫生服务健康委员会提供堕胎服务。 20 名女性在怀孕 12 周之前获得了远程医疗堕胎服务并在家自行服用米非司酮和米索前列醇。通过框架分析方法对半结构化定性访谈进行主题分析。妇女在家中使用远程医疗进行药物流产的经历，特别是：电话咨询和远程支持的可接受性；对不进行流产前超声检查的看法；以及在家自行服用堕胎药物。新的研究结果有三个方面：（1）参与者重视通过远程医疗获得堕胎护理的选择，并强调提供电话和面对面咨询的好处，以适应不同生活环境的人； (2) 远程医疗服务在可及性、舒适性和灵活性以及持续的电话支持方面提高了堕胎护理的质量； (3) 参与者表示对不进行超声波扫描感到满意，在某些情况下甚至偏好不进行超声波扫描。这项研究表明，人们支持在新冠肺炎 (COVID-19) 期间的临时安排之外继续提供远程医疗堕胎服务，并强化了这样的论点：提供远程医疗堕胎护理选项可以使妇女获得这项基本卫生服务。 #远程医疗提供怀孕 12 周以内的在家医疗堕胎是可以接受的，并且受到 #women #Research #SRHR @nbw80 @doctorjjrw @jeniharden @cameronsharon @mrc_crh @edinuniusher 的高度重视。 #远程医疗提供怀孕 12 周以内的在家医疗堕胎是可以接受的，并且受到 #women #Research #SRHR @nbw80 @doctorjjrw @jeniharden @cameronsharon @mrc_crh @edinuniusher 的高度重视。 本文包含作者见解，这是一个视频摘要，网址为：https://vimeo.com/bjog/authorinsights16813
To explore the experiences of women in Scotland who accessed medical abortion at home up to 12 weeks’ gestation, delivered via a telemedicine abortion service implemented in response to the coronavirus (COVID‐19) pandemic, to identify areas for improvement and inform service provision. Qualitative interview study. Abortion service in one National Health Service health board in Scotland. Twenty women who accessed telemedicine abortion services and self‐administered mifepristone and misoprostol at home up to 12 weeks’ gestation. Thematic analysis of semi‐structured qualitative interviews, informed by the Framework analytic approach. Women’s experiences of accessing telemedicine for medical abortion at home, specifically: acceptability of the telephone consultation and remote support; views on no pre‐abortion ultrasound scan; and self‐administration of abortion medications at home. Novel study findings were three‐fold: (1) participants valued the option of accessing abortion care via telemedicine and emphasised the benefits of providing a choice of telephone and in‐person consultation to suit those with different life circumstances; (2) the quality of abortion care was enhanced by the telemedicine service in relation to access, comfort and flexibility, and ongoing telephone support; (3) participants described being comfortable with, and in some cases a preference for, not having an ultrasound scan. This research demonstrates support for the continuation of telemedicine abortion services beyond the temporary arrangements in place during COVID‐19, and lends weight to the argument that offering the option of telemedicine abortion care can enable women to access this essential health service. #Telemedicine provision of medical #abortion at home up to 12 weeks’ gestation is acceptable and highly valued by #women #Research #SRHR @nbw80 @doctorjjrw @jeniharden @cameronsharon @mrc_crh @edinuniusher. #Telemedicine provision of medical #abortion at home up to 12 weeks’ gestation is acceptable and highly valued by #women #Research #SRHR @nbw80 @doctorjjrw @jeniharden @cameronsharon @mrc_crh @edinuniusher. This article includes Author Insights, a video abstract available at: https://vimeo.com/bjog/authorinsights16813
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DOI：
10.1016/j.bpobgyn.2019.06.009
发表时间：
2020-02-01
影响因子：
5.5
作者：
Endler, Margit;Cleeve, Amanda;Gemzell-Danielsson, Kristina
通讯作者：
Gemzell-Danielsson, Kristina
影响因子：
3.3
作者：
Low, Shin Thong;Chen, Zhong Eric;Cameron, Sharon
通讯作者：
Cameron, Sharon
影响因子：
3.4
作者：
Romanis, Elizabeth Chloe;Parsons, Jordan A.;Hodson, Nathan
通讯作者：
Hodson, Nathan
DOI：
10.1111/1471-0528.16668
发表时间：
2021-08
期刊：
BJOG : an international journal of obstetrics and gynaecology
影响因子：
--
作者：
Aiken A;Lohr PA;Lord J;Ghosh N;Starling J
通讯作者：
Starling J
影响因子：
--
作者：
Saunders B;Sim J;Kingstone T;Baker S;Waterfield J;Bartlam B;Burroughs H;Jinks C
通讯作者：
Jinks C