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“距离越近越好”:远程医疗在增加南卡罗来纳州农村地区女性避孕措施可及性方面的作用

"The Closer, the Better:" The Role of Telehealth in Increasing Contraceptive Access Among Women in Rural South Carolina.

作者信息

Sundstrom Beth, DeMaria Andrea L, Ferrara Merissa, Meier Stephanie, Billings Deborah

机构信息

Department of Communication, College of Charleston, 66 George Street, Charleston, SC, 29424, USA.

College of Health and Human Sciences, Purdue University, 812 West State Street, West Lafayette, IN, 47907, USA.

出版信息

Matern Child Health J. 2019 Sep;23(9):1196-1205. doi: 10.1007/s10995-019-02750-3.

DOI:10.1007/s10995-019-02750-3
PMID:31228142
Abstract

BACKGROUND

Rural populations face unique health disparities that prevent women from accessing reproductive health care services. Telehealth initiatives offer a health care delivery tool to increase access to contraception.

OBJECTIVE

To understand women's contraceptive needs and perceptions of accessing contraception through telehealth services.

METHODS

Researchers conducted 52 in-depth interviews with women ages 18-44 years living in five rural counties in South Carolina from May to July 2015. Researchers employed constant comparative data analysis using HyperRESEARCH 3.7.2.

RESULTS

Most participants identified as Black (62%) or White (28%). Findings suggest successful telehealth interventions should accommodate women's complex and nuanced community views, including benefits and barriers of telehealth, to improve access to contraceptive methods in rural locations. In addition, telehealth initiatives should frame contraception as contributing to women's overall health and well-being.

CONCLUSIONS FOR PRACTICE

Telehealth initiatives may address barriers to contraceptive access in rural locations. Findings from this study offer theoretical and practical opportunities to guide telehealth interventions that support and empower women's access to contraceptive methods in rural areas.

摘要

背景

农村人口面临独特的健康差异,这使得女性难以获得生殖保健服务。远程医疗计划提供了一种医疗服务提供工具,以增加避孕措施的可及性。

目的

了解女性的避孕需求以及对通过远程医疗服务获取避孕措施的看法。

方法

2015年5月至7月,研究人员对南卡罗来纳州五个农村县的18至44岁女性进行了52次深入访谈。研究人员使用HyperRESEARCH 3.7.2进行持续比较数据分析。

结果

大多数参与者为黑人(62%)或白人(28%)。研究结果表明,成功的远程医疗干预措施应考虑女性复杂而细微的社区观点,包括远程医疗的益处和障碍,以改善农村地区避孕方法的可及性。此外,远程医疗计划应将避孕视为有助于女性的整体健康和幸福。

实践结论

远程医疗计划可能解决农村地区获取避孕措施的障碍。本研究结果提供了理论和实践机会,以指导支持并增强农村地区女性获取避孕方法的远程医疗干预措施。

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远程医疗是生殖健康护理的关键所在吗?对女性使用意愿及准确信息披露情况的定量研究。
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Use of Preferred Source of Contraception Among Users of the Pill, Patch, and Ring in the US.美国使用避孕药、贴片和环的女性中首选避孕方法的使用情况。
JAMA Netw Open. 2024 Oct 1;7(10):e2439191. doi: 10.1001/jamanetworkopen.2024.39191.
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Client experiences with telehealth using LINE for consultation and assessment of adverse effects of contraceptive implants during the COVID-19 pandemic in Thailand.泰国在新冠疫情期间,客户使用LINE进行远程医疗咨询和评估避孕植入物不良反应的经历。
Digit Health. 2023 Sep 28;9:20552076231203877. doi: 10.1177/20552076231203877. eCollection 2023 Jan-Dec.
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Contraceptive care in the United States during the COVID-19 pandemic: A social media survey of contraceptive access, telehealth use and telehealth quality.美国新冠疫情期间的避孕护理:关于避孕服务可及性、远程医疗使用情况及远程医疗质量的社交媒体调查
Contraception. 2023 Jul;123:110000. doi: 10.1016/j.contraception.2023.110000. Epub 2023 Mar 5.
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Mental health professionals and telehealth in a rural setting: a cross sectional survey.心理健康专业人员和远程医疗在农村环境中的应用:一项横断面调查。
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Pathways to reproductive autonomy: Using path analysis to predict family planning outcomes in the United States.生殖自主权的途径:利用路径分析预测美国的计划生育结果。
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JMIR Pediatr Parent. 2021 Nov 15;4(4):e32708. doi: 10.2196/32708.
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Adolescent Birth Rates and Rural-Urban Differences by Levels of Deprivation and Health Professional Shortage Areas in the United States, 2017-2018.美国 2017-2018 年按贫困程度和卫生专业人员短缺地区划分的青少年出生率和城乡差异。
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宾夕法尼亚州中部农村地区女性进行结直肠癌筛查的障碍:初级保健医生的观点。
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Womens Health Issues. 2012 Mar;22(2):e157-62. doi: 10.1016/j.whi.2011.11.004. Epub 2012 Jan 21.
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