Norman Wendy V, Hestrin Barbara, Dueck Royce
Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada V6T 1Z3 ; Contraception Access Research Team, Women's Health Research Institute, BC Women's Hospital and Health Centre, Vancouver, BC, Canada V6H 3N1.
BC Women's Hospital and Health Centre, Vancouver, BC, Canada V6H 3N1.
Obstet Gynecol Int. 2014;2014:913241. doi: 10.1155/2014/913241. Epub 2014 Feb 13.
Background. Providing equitable access to the full range of reproductive health services over wide geographic areas presents significant challenges to any health system. We present a review of a service provision model which has provided improved access to abortion care; support for complex issues experienced by women seeking nonjudgmental family planning health services; and a mechanism to collect information on access barriers. The toll-free pregnancy options service (POS) of British Columbia Women's Hospital and Health Centre sought to improve access to services and overcome barriers experienced by women seeking abortion. Methods. We describe the development and implementation of a province-wide toll-free telephone counseling and access facilitation service, including establishment of a provincial network of local abortion service providers in the Canadian province of British Columbia from 1998 to 2010. Results. Over 2000 women annually access service via the POS line, networks of care providers are established and linked to central support, and central program planners receive timely information on new service gaps and access barriers. Conclusion. This novel service has been successful in addressing inequities and access barriers identified as priorities before service establishment. The service provided unanticipated benefits to health care planning and monitoring of provincial health care related service delivery and gaps. This model for low cost health service delivery may realize similar benefits when applied to other health care systems where access and referral barriers exist.
背景。在广阔的地理区域内提供全面的生殖健康服务，对任何卫生系统来说都是巨大的挑战。我们对一种服务提供模式进行了综述，该模式改善了堕胎护理的可及性；为寻求非评判性计划生育健康服务的女性所经历的复杂问题提供了支持；并建立了一种收集获取障碍信息的机制。不列颠哥伦比亚妇女医院和健康中心的免费妊娠选择服务（POS）旨在改善服务的可及性，并克服寻求堕胎的女性所面临的障碍。方法。我们描述了一项全省范围的免费电话咨询和获取便利服务的发展与实施情况，包括1998年至2010年在加拿大不列颠哥伦比亚省建立当地堕胎服务提供者的省级网络。结果。每年有超过2000名女性通过POS热线获得服务，建立了护理提供者网络并与中央支持系统相连，中央项目规划者及时收到有关新的服务缺口和获取障碍的信息。结论。这项新颖的服务成功地解决了服务建立之前被确定为优先事项的不公平和获取障碍问题。该服务为省级医疗保健相关服务提供和缺口的医疗保健规划与监测带来了意想不到的好处。这种低成本医疗服务提供模式在应用于存在获取和转诊障碍的其他医疗系统时，可能会实现类似的益处。
