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首页> 外文期刊>The journal of family planning and reproductive health care >Views of contraceptive service delivery to young people in the UK: a systematic review and thematic synthesis.
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Views of contraceptive service delivery to young people in the UK: a systematic review and thematic synthesis.

机译:向英国年轻人提供避孕服务的观点:系统回顾和主题综合。

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BACKGROUND AND METHODOLOGY: Despite widespread availability of contraceptives and increasing service provision in the UK, rates of teenage pregnancy remain a concern. It has been suggested that young people face particular obstacles in accessing services, leading to a need for specialist provision. This systematic review examined the literature reporting views of service providers and young people. Data were synthesised in order to develop key themes to inform the development of contraceptive services for this population. RESULTS: A total of 59 papers reporting studies carried out within the UK were included. Forty-five of these provided qualitative or mixed method data and 14 reported survey findings. Seven key themes were identified: perceptions of services; accessibility; embarrassment; anonymity and confidentiality; the clinic environment; the consultation; and service organisation. CONCLUSIONS: This review suggests that the most significant concern for young people is the preservation of anonymity and confidentiality. There seems to be a need for young people to be given greater assurances about this, with process and environmental changes suggested. The fear of staff being critical or unfriendly also presents a considerable obstacle to some young people. Issues of service accessibility - such as convenience of location and opening hours - are also highlighted, with lifestyle factors and restrictions on where under-18s can go suggested as important aspects. The review suggests that varying preferences among young people with regard to which service to access requires choice to be preserved and, where possible, extended. This requires services to work effectively together to consider provision across a locality.
机译:背景与方法:尽管在英国避孕药具广泛普及,并且提供的服务有所增加,但青少年怀孕率仍然令人担忧。有人建议,年轻人在获得服务方面面临特别的障碍,导致需要提供专家。这项系统的审查审查了文献报道服务提供商和年轻人的观点。为了确定关键主题,以综合信息数据,为该人群提供避孕服务。结果:总共包括59篇报告英国研究的论文。其中有45个提供了​​定性或混合方法数据以及14个报告的调查结果。确定了七个关键主题:对服务的看法;对服务的理解。可及性;尴尬匿名和保密;诊所环境;咨询;和服务组织。结论:这项审查表明年轻人最重要的关注是匿名性和保密性的保留。似乎需要对年轻人给予更大的保证,并建议改变工艺和环境。对工作人员的批评或不友好的恐惧也给一些年轻人带来了很大的障碍。还强调了服务可访问性的问题,例如位置和营业时间的便利性,其中重要的方面是生活方式因素和18岁以下青少年可以去哪里的限制。审查表明,年轻人在获得哪种服务方面的偏好各不相同,需要保留选择权,并在可能的情况下扩大选择权。这就要求服务部门有效地协同工作,以考虑跨地区提供服务。

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