Telehealth for Contraceptive Services During the COVID-19 Pandemic: Provider Perspectives.
Telehealth for Contraceptive Services During the COVID-19 Pandemic: Provider Perspectives.
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DOI：
10.1016/j.whi.2022.05.001
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发表时间：
2022-09
影响因子：
3.2
通讯作者：
Harper, Cynthia C.
中科院分区：
文献类型：
--
作者：
Rao, Lavanya;Comfort, Alison B.;Dojiri, S. Sei;Goodman, Suzan;Yarger, Jennifer;Shah, Nishant;Folse, Connie;Blum, Maya;Hankin, Julia;Harper, Cynthia C.
在COVID-19大流行期间，远程医疗的使用迅速增加，包括避孕护理（例如，咨询和方法提供）。本研究探讨了提供者通过远程保健提供避孕保健的经验。我们在美国各地的避孕提供者中进行了一项开放式调查。研究人群包括医生、执业护士、健康教育工作者和其他健康专业人员（n = 546）。数据收集时间为2020年4月10日至2021年1月29日。我们对开放式答复进行了定性内容分析。提供者强调了远程保健的好处，包括继续获得避孕服务，并为那些在亲自接受避孕检查方面面临挑战的病人提供便利。学校保健中心的提供者报告说，远程保健使他们能够在学校关闭时接触到年轻人。然而，许多提供者指出，病人对远程保健服务的可用性缺乏认识，在获得技术方面存在差距。提供者认为，在虚拟避孕咨询中，个人联系较少，注意到保密方面的挑战，并对无法仅通过远程保健提供全方位的避孕方法表示关切。这一流行病严重影响了避孕保健服务的提供。远程保健以重要的方式维持了获得避孕药具的机会，但也伴随着各种挑战，包括技术获取和保密。随着混合护理模式的发展，必须评估远程保健如何在提供避孕护理方面发挥作用，同时消除其障碍。
Telehealth use rapidly increased during the COVID-19 pandemic, including for contraceptive care (e.g., counseling and method provision). This study explored providers’ experiences with contraceptive care via telehealth. We conducted a survey with open-ended responses among contraceptive providers across the United States. The study population included physicians, nurse practitioners, health educators, and other health professionals (n = 546). Data were collected from April 10, 2020, to January 29, 2021. We conducted qualitative content analysis of the open-ended responses. Providers highlighted the benefits of telehealth, including continuing access to contraceptive services and accommodating patients who faced challenges attending in-person contraceptive visits. Providers at school-based health centers reported telehealth allowed them to reach young people while schools were closed. However, many providers noted a lack of patient awareness about the availability of telehealth services and disparities in access to technology. Providers felt there was less personal connection in virtual contraceptive counseling, noted challenges with confidentiality, and expressed concern about the inability to provide the full range of contraceptive methods through telehealth alone. The pandemic significantly impacted contraceptive health care delivery. Telehealth has sustained access to contraception in important ways, but has been accompanied by various challenges, including technological access and confidentiality. As hybrid models of care evolve, it is important to assess how telehealth can play a role in providing contraceptive care while addressing its barriers.
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影响因子：
2.9
作者：
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通讯作者：
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通讯作者：
Harper, Cynthia C.
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