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改善当地非营利性诊所的避孕护理服务:一项质量改进项目。

Improving Access to Contraception Care at a Local Nonprofit Clinic: A Quality Improvement Project.

作者信息

Croskey Olivia, Norris Cecilia

机构信息

University of Iowa College of Nursing, 807 Woodside Drive, Iowa City, IA, 52246, USA.

Iowa City Free Medical Clinic, Iowa City, IA, USA.

出版信息

J Immigr Minor Health. 2025 Apr;27(2):286-293. doi: 10.1007/s10903-024-01660-z. Epub 2024 Dec 3.

Abstract

One Midwest, non-profit clinic aimed to increase access to contraceptive services by improving their care delivery process through the implementation of a population-specific, contraception education program. The program included patient education, timely follow-up appointments, and free contraception. In this quality improvement project, a total of twenty-two mostly Spanish-speaking women signed up for a group education session that lasted thirty minutes and was offered monthly. The session was led by a female, bilingual provider and focused on contraception benefits, side effects, and common myths. After the session, the clinic offered same-day initiation of contraception for oral contraceptives, Depo-Provera injections, and Nexplanon implants. In this clinic, offering the class in conjunction with immediate initiation of the chosen birth control method decreased the average time to care delivery, showing a positive impact on access to these essential services.

摘要

一家位于中西部的非营利性诊所,旨在通过实施针对特定人群的避孕教育项目来改善其护理流程,从而增加避孕服务的可及性。该项目包括患者教育、及时的随访预约以及免费避孕措施。在这个质量改进项目中,共有22名主要讲西班牙语的女性报名参加了为期30分钟、每月举办一次的小组教育课程。该课程由一位双语女性医护人员主持,重点讲解了避孕的益处、副作用以及常见误区。课程结束后,诊所为口服避孕药、醋酸甲羟孕酮注射剂和皮下埋植避孕剂提供当日避孕起始服务。在这家诊所,将课程与立即开始使用所选避孕方法相结合,缩短了平均护理交付时间,对这些基本服务的可及性产生了积极影响。

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