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首页> 外文期刊>Perspectives on sexual and reproductive health >The Link Between Reproductive Life Plan Assessment And Provision of Preconception Care At Publicly Funded Health Centers
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The Link Between Reproductive Life Plan Assessment And Provision of Preconception Care At Publicly Funded Health Centers

机译：生殖生活计划评估与公共资助健康中心的先入为关怀的联系

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Abstract CONTEXT Federal and clinical guidelines recommend integrating reproductive life plan assessments into routine family planning encounters to increase provision of preconception care. Yet, the prevalence of clinical protocols and of relevant practices at publicly funded health centers is unknown. METHODS Administrators and providers at a nationally representative sample of publicly funded health centers that provide family planning services were surveyed in 2013–2014; data from 1,039 linked pairs were used to explore the reported prevalence of reproductive life plan protocols, frequent assessment of patients’ reproductive life plan and frequent provision of preconception care. Chi‐square tests and multivariable general linear models were used to examine differences in reports of protocols and related practices. RESULTS Overall, 58% of centers reported having reproductive life plan assessment protocols, 87% reported frequently assessing reproductive life plans and 55% reported frequently providing preconception care. The proportions reporting protocols were lower in community health centers than in other center types (32% vs. 52–91%), in primary care centers than in those with another focus (33% vs. 77–80%) and in centers not receiving Title X funding than in those with such support (36% vs. 77%). Reported existence of a written protocol was positively associated with reported frequent assessment (prevalence ratio, 1.1), and the latter was positively associated with reported frequent preconception care (1.4). CONCLUSION Further research is needed on associations between written protocols and clinical practice, and to elucidate the preconception care services that may be associated with reproductive life plan assessment.
机译：摘要上下文联邦和临床指南建议将生殖生活计划评估整合到常规计划生育遇到，以增加偏见的关怀。然而，临床协议和公共资助的医疗中心的相关实践的患病率未知。方法在2013 - 2014年度调查了提供计划生育服务的全国代表性的公共资助健康中心的国家代表性样本; 1,039个联系对的数据用于探讨据报道的生殖生活计划协议，频繁评估患者的生殖生活计划和频繁提供先入为主护理。 Chi-Square测试和多变量的一般线性模型用于检查协议和相关行为的报告中的差异。结果总体而言，58％的中心报告具有生殖生活计划评估议定书，87％报告经常评估生殖生活计划，55％报告经常提供先入为主护理。社区保健中心的比例报告议定书比其他中心类型（32％与52-91％）低于初级保健中心，而不是另一种焦点（33％与77-80％）和中心收到标题X资金比在此支持的人中（36％与77％）。据报道，书面方案的存在与报告的频繁评估（流行率为1.1）呈正相关，后者与报告的频繁的先入为主护理（1.4）呈正相关（1.4）。结论在书面协议和临床实践之间的协会需要进一步研究，并阐明可能与生殖生活计划评估相关的先注性护理服务。

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