Bello Jennifer K, Adkins Katlynn, Stulberg Debra B, Rao Goutham
Department of Family Medicine, The University of Chicago, Chicago, USA; Department of Family Medicine, NorthShore University Health System, Evanston, USA.
Patient Educ Couns. 2013 Dec;93(3):655-63. doi: 10.1016/j.pec.2013.09.004. Epub 2013 Sep 16.
Physicians face barriers to incorporating recommended contraceptive and preconception health services, including reproductive life plans (RLPs), into primary care. With promising findings from early studies of RLPs, we examined the impact of a novel reproductive health self-assessment tool (RH-SAT) on reproductive health counseling.
We created the RH-SAT for an urban community health center population and trained providers on preconception and contraceptive guidelines. Semi-structured interviews were conducted to assess perceptions of the tool with 22 patients and with all 15 providers at the clinic. Transcripts were thematically analyzed using a grounded theoretical approach.
Patients and providers reported the RH-SAT presented new and thought-provoking material that promoted patient participation and facilitated counseling.
This RH-SAT is acceptable and useful to patients and providers in an underserved urban health center. In accordance with Medical Communication Alignment Theory (MCAT), increased patient participation in reproductive health discussions may alert providers to patient interest in these topics.
This study provides preliminary evidence that the RH-SAT can help overcome barriers to reproductive health counseling in primary care. Providers may wish to incorporate tools into their practice to improve communication with patients about their reproductive health goals.
医生在将推荐的避孕和孕前保健服务，包括生殖生活计划（RLP）纳入初级保健方面面临障碍。鉴于RLP早期研究取得了有前景的结果，我们研究了一种新型生殖健康自我评估工具（RH-SAT）对生殖健康咨询的影响。
我们为城市社区卫生中心人群创建了RH-SAT，并就孕前和避孕指南对医护人员进行了培训。对22名患者和该诊所的所有15名医护人员进行了半结构化访谈，以评估他们对该工具的看法。使用扎根理论方法对访谈记录进行了主题分析。
患者和医护人员报告称，RH-SAT提供了新的、发人深省的内容，促进了患者参与并便利了咨询。
在服务欠缺的城市卫生中心，这种RH-SAT对患者和医护人员来说是可接受且有用的。根据医学沟通协调理论（MCAT），患者在生殖健康讨论中参与度的提高可能会使医护人员意识到患者对这些话题的兴趣。
本研究提供了初步证据，表明RH-SAT有助于克服初级保健中生殖健康咨询的障碍。医护人员不妨在实践中采用此类工具，以改善与患者就其生殖健康目标进行的沟通。
