Jamie L. Manzer PhD , Lexi Ouellette MPH , Lauren Tingey PhD , Amanda Carrillo-Perez BA , Clare Hogan MPH , Nia Atkins BA , Katherine Carmichael BA , Grace Guerrero Ramirez MSPH , Maggie M. Magee MPH , Macy A. Miller BA , Chidinma Nwankwo MPH , Simone Reid BA , Tara Strelevitz BA , Vanessa Taylor MPP , William Waddell BS , Mindy Wong MPA , Burak Yuksel MPP , Jennifer Blum MPH
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引用次数: 0
Abstract
Introduction
Contraceptive care is critical piece of quality sexual reproductive healthcare. Providers directly impact client experiences and clinical outcomes; it is important to understand how providers offer contraceptive care and the factors influencing this care. This systematic review summarizes recent research on providers, their perspectives, experiences, barriers, and facilitators to offering contraceptive counseling, education, and care.
Methods
In May 2023, a systematic review was conducted in PubMed, Cochrane Database of Systematic Reviews, and Scopus to identify articles published between December 1, 2016, and May 1, 2023. Studies that explored the barriers and facilitators providers experience when offering contraceptive counseling, education, and/or care and how those differ by clinic setting, provider characteristics, and/or client demographics were included.
Results
A total of 22 studies met the inclusion criteria. Only three studies reported provider demographic characteristics. Most studies were conducted in urban locations with five delivering care to clients with low income. Care provision varied based on clinic setting, provider characteristics, and client characteristics. Care also included client-centered, efficacy-based, shared decision-making, and directive counseling approaches. Providers identified real or perceived challenges among their clients as a barrier to quality care provision, in addition to insufficient time; inability to offer same-day method insertion; and a lack of training in cultural humility, long-acting methods, and providing care to clients with intellectual disabilities.
Discussion
Despite intentions to provide client-centered care and prioritize client autonomy, providers face numerous barriers that impact their ability to offer quality care in alignment with client needs and desires.
期刊介绍：
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
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