Disruptions and opportunities in sexual and reproductive health care: How COVID-19 impacted service provision in three US states.

IF 3.4 2区医学 Q1 DEMOGRAPHY Perspectives on Sexual and Reproductive Health Pub Date : 2022-12-01 DOI:10.1363/psrh.12213

Alicia VandeVusse, Philicia W Castillo, Marielle Kirstein, Jennifer Mueller, Megan Kavanaugh

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引用次数: 3

Abstract

Context: The COVID-19 pandemic abruptly disrupted the provision of sexual and reproductive health care in the United States.

Methods: We conducted interviews with family planning clinic staff at 55 health care facilities in Arizona, Iowa, and Wisconsin in late 2020 and early 2021. We asked respondents about the challenges they faced and ways they adapted their service provision as a result of the pandemic. We conducted content and thematic analyses of the interview transcripts using an inductively developed qualitative coding scheme.

Results: Family planning clinics and providers made a variety of changes to their clinic operations and service delivery. The three major areas of change for these facilities were implementation of COVID-19 safety procedures, shifting service delivery and staffing to meet patient needs, and the rapid uptake and expansion of telehealth.

Conclusion: While providers faced many challenges, they also described opportunities to innovate and rethink standard of care protocols that may continue to shape sexual and reproductive health care even after the pandemic abates.

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性健康和生殖健康保健的中断和机会:COVID-19如何影响美国三个州的服务提供。

背景:2019冠状病毒病大流行突然中断了美国的性和生殖保健服务。方法:我们于2020年底和2021年初对亚利桑那州、爱荷华州和威斯康星州55家卫生保健机构的计划生育诊所工作人员进行了访谈。我们向答复者询问了他们面临的挑战以及他们因大流行而调整服务提供的方式。我们使用归纳开发的定性编码方案对访谈记录进行了内容和主题分析。结果:计划生育诊所和服务提供者在诊所运作和服务提供方面做出了各种改变。这些设施的三个主要变革领域是实施COVID-19安全程序，改变服务提供和人员配置以满足患者需求，以及迅速采用和扩大远程医疗。结论:虽然提供者面临许多挑战，但他们也描述了创新和重新思考护理标准规程的机会，这些规程即使在大流行病消退后也可能继续影响性健康和生殖健康保健。

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.