新冠疫情期间的避孕措施远程医疗服务：2021 年全国调查结果。
Telehealth for Contraceptive Care During the COVID-19 Pandemic: Results of a 2021 National Survey.
机构信息
At the time of this work, all of the authors were with the Guttmacher Institute, New York, NY.
出版信息
Am J Public Health. 2022 Jun;112(S5):S545-S554. doi: 10.2105/AJPH.2022.306886.
To investigate trends in the use and quality of telehealth for contraceptive care during the COVID-19 pandemic in the United States. The 2021 Guttmacher Survey of Reproductive Health Experiences is a national online survey of 6211 people assigned female at birth, aged 18 to 49 years, and that ever had penile‒vaginal sex. We used weighted bivariable and multivariable logistic regressions to analyze the use of telehealth for contraceptive care and the quality of this care. Of the respondents, 34% received a contraceptive service in the 6 months before the survey; of this group, 17% utilized telehealth. Respondents who were uninsured at some point in the 6 months before the survey had greater odds of using telehealth for this care. Respondents had lower odds of rating the person-centeredness of their care as "excellent" if they received services via telehealth compared with in person (25% vs 39%). Telehealth has helped bridge gaps in contraceptive care deepened by COVID-19. More work is needed to improve the quality of care and reduce access barriers to ensure telehealth can meet its full potential as part of a spectrum of care options. (. 2022;112(S5):S545-S554. https://doi.org/10.2105/AJPH.2022.306886).
调查美国 COVID-19 大流行期间用于避孕护理的远程医疗使用情况和质量趋势。2021 年古特马赫生殖健康体验调查是一项针对 6211 名出生时被指定为女性、年龄在 18 至 49 岁之间且曾有过阴茎-阴道性行为的人的全国性在线调查。我们使用加权双变量和多变量逻辑回归分析了避孕护理的远程医疗使用情况和护理质量。在调查前的 6 个月内，有 34%的受访者接受了避孕服务；其中 17%的人使用了远程医疗。在调查前的 6 个月内曾有过某种程度上未参保的受访者，他们更有可能因这种护理而使用远程医疗。与面对面就诊相比，通过远程医疗就诊的受访者对其护理的以患者为中心程度的评价较差的可能性更低（25%比 39%）。远程医疗有助于弥合因 COVID-19 而加深的避孕护理差距。需要进一步努力提高护理质量并减少获取障碍，以确保远程医疗能够发挥其作为一系列护理选择之一的全部潜力。（. 2022；112(S5):S545-S554. https://doi.org/10.2105/AJPH.2022.306886）。
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