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Perceptions of a reproductive health self-assessment tool (RH-SAT) in an urban community health center

机译:对城市社区卫生中心的生殖健康自我评估工具(RH-SAT)的看法

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Objective: Physicians face barriers to incorporating recommended contraceptive and preconception health services, including reproductive life plans (RLPs), into primary care. With promising findings from early studies of RLPs, we examined the impact of a novel reproductive health self-assessment tool (RH-SAT) on reproductive health counseling. Methods: We created the RH-SAT for an urban community health center population and trained providers on preconception and contraceptive guidelines. Semi-structured interviews were conducted to assess perceptions of the tool with 22 patients and with all 15 providers at the clinic. Transcripts were thematically analyzed using a grounded theoretical approach. Results: Patients and providers reported the RH-SAT presented new and thought-provoking material that promoted patient participation and facilitated counseling. Conclusion: This RH-SAT is acceptable and useful to patients and providers in an underserved urban health center. In accordance with Medical Communication Alignment Theory (MCAT), increased patient participation in reproductive health discussions may alert providers to patient interest in these topics. Practice implications: This study provides preliminary evidence that the RH-SAT can help overcome barriers to reproductive health counseling in primary care. Providers may wish to incorporate tools into their practice to improve communication with patients about their reproductive health goals.
机译:目标:医师面临着将推荐的避孕和避孕前保健服务(包括生殖健康计划(RLP))纳入初级保健的障碍。借助RLP的早期研究中令人鼓舞的发现,我们研究了新型生殖健康自我评估工具(RH-SAT)对生殖健康咨询的影响。方法:我们为城市社区卫生中心的人群创建了RH-SAT,并为服务提供者提供了有关孕前和避孕指南的培训。进行了半结构化访谈,以评估22位患者以及诊所的所有15位提供者的对该工具的看法。使用扎根的理论方法对成绩单进行主题分析。结果:患者和提供者报告说RH-SAT提出了新的和发人深省的材料,可以促进患者的参与并促进咨询。结论:这种RH-SAT对于服务欠佳的城市卫生中心的患者和提供者来说是可以接受和有用的。根据医学交流比对理论(MCAT),增加患者对生殖健康讨论的参与可能会提醒提供者患者对这些主题的兴趣。实践意义:这项研究提供了初步的证据,RH-SAT可以帮助克服初级保健中生殖健康咨询的障碍。提供者不妨将工具纳入他们的实践中,以改善与患者有关其生殖健康目标的沟通。

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