全科医生为文化和语言背景不同的妇女提供早期药物流产服务的经验：一项定性描述性研究。
General practitioner experiences in delivering early medical abortion services to women from culturally and linguistically diverse backgrounds: A qualitative-descriptive study.
机构信息
MD, BMedSc (Hons), Department of General Practice, Monash University, Melbourne, Vic.
MD, MBBS, FRACGP, Grad Dip Women@s Health, Head, Department of General Practice, Monash University, Vic; Director, SPHERE (NHMRC Centre of Excellence in Sexual and Reproductive Health for Women in Primary Care), Department of General Practice, Monash University, Vic.
出版信息
Aust J Gen Pract. 2023 Aug;52(8):557-564. doi: 10.31128/AJGP-07-22-6485.
BACKGROUND AND OBJECTIVES
General practitioners (GPs) are ideally placed to deliver early medical abortion (EMA), yet little is known about how GPs deliver this care to women from culturally and linguistically diverse (CALD) backgrounds. We explored GP experiences in providing EMA to women from CALD backgrounds and their recommendations for service improvements.
METHOD
This was a qualitative study involving telephone interviews with 18 Australian GPs who provide EMA to women from CALD backgrounds. Data were thematically analysed using the Capability, Opportunity and Motivation Behaviour model.
RESULTS
GPs experienced challenges in communication and cultural competency when delivering EMA to women from CALD backgrounds due to insufficient training, lack of multilingual resources and difficulties accessing interpreters. In addition, the stigma surrounding abortion and concerns around reproductive coercion made engaging these women challenging.
DISCUSSION
Upskilling GPs in culturally competent care, improving access to multilingual resources and enabling efficient interpreter use can optimise EMA delivery to women from CALD backgrounds.
背景与目的
全科医生（GP）是提供早期药物流产（EMA）的理想人选，但对于 GP 如何为文化和语言多样化（CALD）背景的女性提供这种护理知之甚少。我们探讨了全科医生为 CALD 背景女性提供 EMA 的经验，以及他们对服务改进的建议。
方法
这是一项定性研究，涉及对 18 名为 CALD 背景女性提供 EMA 的澳大利亚全科医生进行电话访谈。使用能力、机会和动机行为模型对数据进行主题分析。
结果
由于培训不足、缺乏多语种资源和难以获得口译员，GP 在为 CALD 背景女性提供 EMA 时在沟通和文化能力方面遇到挑战。此外，围绕堕胎的耻辱感和对生殖胁迫的担忧使得与这些女性接触具有挑战性。
讨论
提高 GP 在文化能力方面的技能、改善多语种资源的获取以及实现口译员的有效使用，可以优化为 CALD 背景女性提供的 EMA 服务。
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