Faculty of Medicine, School of Public Health, The University of Queensland, Herston, Queensland, Australia.
Iris Education, Eldridge Street, Toowong, Queensland, Australia.
Fam Pract. 2022 Nov 22;39(6):1109-1115. doi: 10.1093/fampra/cmac040.
Long-acting reversible contraceptives are recommended first-line contraception; however, intrauterine device (IUD) uptake remains low in Australia.
To describe the outcomes of an independent evaluation of the General Practitioner IUD Insertion Network (GPIIN), a project designed to address access barriers through formalized referral pathways between general practitioners (GPs) inserting IUDs and noninserters.
An independent qualitative pragmatic inductive evaluation, involving 14 in-depth interviews with GPIIN members, was conducted 18 months post-GPIIN implementation in 2 Australian jurisdictions to identify and explore critical success factors and limitations of the model.
Local GP-to-GP IUD referral networks were considered a useful model to assist affordable and timely IUD access, improve noninserters' IUD knowledge and inserters' reflection on best practice. However, pathway simplification is needed to determine optimal integration of the concept into pragmatic GP-to-GP referral arrangements.
GPIIN provides an opportunity to improve IUD access in Primary Health Care. Further consideration of organizations best positioned and resourced to facilitate sustainable delivery and coordination is necessary.
长效可逆避孕措施被推荐作为一线避孕方法；然而，在澳大利亚，宫内节育器（IUD）的使用率仍然很低。
描述对普通科医生 IUD 插入网络（GPIIN）的独立评估结果，该项目旨在通过在插入 IUD 和不插入 IUD 的普通科医生之间建立正式的转介途径来解决获得途径的障碍。
在 GPIIN 实施 18 个月后，在澳大利亚的 2 个司法管辖区进行了一项独立的定性务实的归纳评估，涉及对 GPIIN 成员的 14 次深入访谈，以确定和探讨该模式的关键成功因素和限制。
当地的 GP 之间的 IUD 转介网络被认为是一种有用的模式，可以帮助负担得起和及时获得 IUD，并提高不插入者对 IUD 的知识和插入者对最佳实践的反思。然而，需要简化途径，以确定将该概念最佳地整合到务实的 GP 转介安排中的方法。
GPIIN 为改善初级卫生保健中的 IUD 获得提供了机会。需要进一步考虑哪些组织最有能力和资源来促进可持续的提供和协调。
