Summit Aleza K, Casey Lauren M J, Bennett Ariana H, Karasz Alison, Gold Marji
Montefiore Medical Center, Bronx, NY.
Fam Med. 2016 Jan;48(1):30-4.
Prior studies have demonstrated that most women are comfortable with the option of receiving early abortion care in the family medicine setting, and patients who received early abortion care in this context report satisfaction with their experience. There are few qualitative studies, however, that explore abortion experiences in the family medicine setting. This study aimed to better understand influential factors in women's choices and experiences of their family medicine setting for abortion care.
We conducted semi-structured interviews with 15 women who received early abortion care at an urban federally qualified health center offering full-spectrum family medicine. Transcripts were analyzed in NVivo, using editing and immersion/crystallization approaches.
Women who received abortion care in this setting were highly satisfied. Though many were surprised when they learned abortion care was available, their responses were favorable, and their experiences were positive. Our results indicate that connection to the clinic setting and to the provider who performed the abortion created a context of trust and comfort. Further, women in our study appreciated the privacy offered by a general medical setting as well as the convenience and continuity of care afforded by accessing abortion care in their accustomed primary care setting.
Women in our study reported high levels of satisfaction with care and would recommend this setting to others. In a context of increasing restrictions on abortion, family physicians are well-positioned to increase access by including abortion care in the range of reproductive health services offered in their primary care practice settings.
先前的研究表明，大多数女性对在家庭医学环境中接受早期堕胎护理的选择感到满意，在此环境中接受早期堕胎护理的患者对其经历表示满意。然而，很少有定性研究探讨在家庭医学环境中的堕胎经历。本研究旨在更好地了解影响女性选择在家庭医学环境中接受堕胎护理及其经历的因素。
我们对15名在一家提供全方位家庭医学服务的城市联邦合格健康中心接受早期堕胎护理的女性进行了半结构化访谈。使用编辑和沉浸/结晶方法在NVivo中对访谈记录进行分析。
在此环境中接受堕胎护理的女性非常满意。尽管许多人得知可以提供堕胎护理时感到惊讶，但她们的反应是积极的，经历也是正面的。我们的结果表明，与诊所环境以及进行堕胎手术的提供者之间的联系营造了信任和舒适的氛围。此外，我们研究中的女性赞赏普通医疗环境所提供的隐私，以及在其熟悉的初级保健环境中获得堕胎护理所带来的便利和护理的连续性。
我们研究中的女性对护理表示高度满意，并会向他人推荐这种环境。在堕胎限制日益增加的背景下，家庭医生处于有利地位，可以通过将堕胎护理纳入其初级保健实践环境中提供的生殖健康服务范围来增加可及性。
