Suppr超能文献

印度马哈拉施特拉邦和比哈尔邦医生与非医生对护士及阿育吠陀医生提供药物流产服务的看法。

Physicians' and non-physicians' views about provision of medical abortion by nurses and AYUSH physicians in Maharashtra and Bihar, India.

作者信息

Acharya Rajib, Kalyanwala Shveta

机构信息

Associate, Population Council, New Delhi, India.

Independent consultant, New Delhi, India.

出版信息

Reprod Health Matters. 2015 Feb;22(44 Suppl 1):36-46. doi: 10.1016/S0968-8080(14)43787-X.

Abstract

There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar states and in-depth interviews with 34 of them who had used medical abortion in their practices. Findings indicate that obstetrician-gynaecologists and other allopathic physicians were less supportive than non-physicians of nurses and AYUSH physicians providing early medical abortion. The physicians did not think that these providers would be able to assess women's eligibility for medical abortion correctly. In contrast, the majority of non-physicians found task shifting of medical abortion provision to trained nurses and AYUSH physicians acceptable, and they were confident that these providers would be able to provide medical abortion as safely and effectively as trained physicians. Assuming the reforms are passed, efforts will need to be made by government and medical professional bodies to train these new providers to undertake this role, prepare the health infrastructure to include them, and create an environment, including among physicians, that is conducive to enabling non-physicians to provide medical abortion.

摘要

关于印度有资质和无资质的医疗服务提供者是否支持改革《人工流产法》以扩大堕胎服务提供者范围,允许经过培训的护士和阿育吠陀医生(接受过印度医学体系培训)提供药物流产,目前只有有限的证据。为了探究他们的观点,我们对马哈拉施特拉邦和比哈尔邦的1200名医生及其他医疗服务提供者进行了调查,并对其中34名在实践中使用过药物流产的人员进行了深入访谈。研究结果表明,与非医生人员相比,妇产科医生和其他西医医生不太支持护士和阿育吠陀医生提供早期药物流产。医生们认为这些服务提供者无法正确评估女性是否适合进行药物流产。相比之下,大多数非医生人员认为将药物流产服务的任务转移给经过培训的护士和阿育吠陀医生是可以接受的,并且他们相信这些服务提供者能够像经过培训的医生一样安全有效地提供药物流产服务。假设改革获得通过,政府和医学专业机构将需要努力培训这些新的服务提供者来承担这一角色,准备好卫生基础设施以纳入他们,并营造一个有利于非医生人员提供药物流产服务的环境,包括在医生群体中营造这样的环境。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验