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Family Physicians' Barriers and Facilitators in Incorporating Medication Abortion.
Razon, Na'amah; Wulf, Sarah; Perez, Citlali; McNeil, Sarah; Maldonado, Lisa; Fields, Alison Byrne; Holt, Kelsey; Fox, Edith; Silverstein, Ilana; Dehlendorf, Christine.
Afiliación
  • Razon N; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Wulf S; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Perez C; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • McNeil S; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Maldonado L; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Fields AB; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Holt K; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Fox E; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Silverstein I; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
  • Dehlendorf C; From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicin
J Am Board Fam Med ; 35(3): 579-587, 2022.
Article en En | MEDLINE | ID: mdl-35641055
PURPOSE: Medication abortion (MAB) provision by family physicians has the potential to expand abortion access. However, there are documented individual and structural barriers to provision. This study investigates how family physicians in the United States (US) navigate the barriers impeding abortion provision in primary care. METHODS: We conducted a qualitative study on the experiences of US family physicians with MAB in primary care. We recruited participants at national conferences and via professional networks. This analysis focuses on the experiences of the subset of participants who expressed interest in providing MAB. RESULTS: Forty-eight participants met inclusion criteria, with representation from all 4 regions of the US. Participants had diverse experiences related to abortion provision, training, and the environment in which they practice, with a third of participants working in states with hostile abortion policies. We categorized participants into 3 groups: (1) doctors who did not receive training and do not provide abortions (n = 11), (2) doctors who received training but do not provide abortions (n = 20), and (3) doctors who received training and currently provide abortions (n = 17). We found that training, administrative and community support, and internal motivation to overcome barriers help family physicians integrate MAB in primary care practices. Federal and state laws, absence of training, stigma around abortion provision, inaccurate or limited knowledge of institutional barriers, and administrative resistance all contributed to doctors excluding abortion provision from their scope of practice. CONCLUSION: Improving medication abortion provision by family physicians requires addressing the individual and system barriers family physicians encounter so they receive the education, training, and support to successfully integrate abortion care into clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aborto Inducido / Internado y Residencia Tipo de estudio: Qualitative_research Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: J Am Board Fam Med Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aborto Inducido / Internado y Residencia Tipo de estudio: Qualitative_research Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: J Am Board Fam Med Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos