Newton Danielle, Bayly Chris, McNamee Kathleen, Bismark Marie, Hardiman Annarella, Webster Amy, Keogh Louise
Gender and Women's Health, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
The Royal Women's Hospital, Melbourne, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2016 Dec;56(6):648-654. doi: 10.1111/ajo.12507. Epub 2016 Jul 21.
The introduction to Australia of modern medical abortion methods, which require less specialist expertise and equipment than the more traditional surgical methods, have brought an as yet unrealised potential to improve access to abortion services.
To investigate the potential for expanding the role of general practice in the provision of medical abortion in Victoria.
In 2015, in-depth interviews were conducted with 19 experts in abortion service provision in Victoria. A semi-structured interview schedule was used to guide the interviews. Interviews were transcribed verbatim and transcripts analysed thematically.
Participants were largely very supportive of the provision of early medical abortion in general practice as a way of increasing abortion access for women, particularly in rural and regional communities. Access to abortion was seen as an essential component of women's comprehensive health care and therefore general practitioners (GPs) were perceived as ideally placed to provide this service. However, this would require development and implementation of new service models, careful consideration of GP and nurse roles, strengthening of partnerships with other health professionals and services in the community, and enhanced training, support and mentoring for clinicians.
The application of these findings by relevant health services and agencies has the potential to increase provision of medical abortion services in general practice settings, better meeting the health-care needs of women seeking this service.
现代药物流产方法引入澳大利亚，与更为传统的手术流产方法相比，所需的专业知识和设备较少，这带来了尚未实现的改善流产服务可及性的潜力。
调查在维多利亚州扩大全科医疗在提供药物流产方面作用的潜力。
2015年，对维多利亚州19名流产服务提供领域的专家进行了深入访谈。采用半结构化访谈提纲指导访谈。访谈逐字转录，并对转录文本进行主题分析。
参与者大多非常支持在全科医疗中提供早期药物流产，认为这是增加女性，尤其是农村和地区社区女性流产可及性的一种方式。流产可及性被视为女性全面医疗保健的重要组成部分，因此全科医生被认为是提供这项服务的理想人选。然而，这需要开发和实施新的服务模式，仔细考虑全科医生和护士的角色，加强与社区其他卫生专业人员和服务机构的合作，以及加强对临床医生的培训、支持和指导。
相关卫生服务机构应用这些研究结果有可能增加全科医疗环境中药物流产服务的提供，更好地满足寻求该服务的女性的医疗保健需求。
