Health-care workforce implications of the Dobbs v Jackson Women's Health Organization decision.

Autor: Brindis CD; Philip R Lee Institute for Health Policy Studies, Department of Pediatrics, University of California, San Francisco, CA, USA; Division of Adolescent and Young Adult Health, Department of Pediatrics, University of California, San Francisco, CA, USA. Electronic address: claire.brindis@ucsf.edu., Laitner MH; National Academy of Medicine, Washington, DC, USA., Clayton EW; Vanderbilt University Medical Center, Nashville, TN, USA., Scrimshaw SC; Scrimshaw Consulting, Thornton, NH, USA., Grosz BJ; Harvard University, Cambridge, MA, USA., Simpson LA; AcademyHealth, Washington, DC, USA., Rosenbaum S; George Washington University, Washington, DC, USA., Brierley CL; Brierley Consultancy, Highlands Ranch, CO, USA., Simon MA; Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL, USA., Roubideaux Y; Colorado School of Public Health, Aurora, CO, USA., Calonge BN; Colorado School of Public Health, Aurora, CO, USA., Johnson PA; Wellesley College, Wellesley, MA, USA., DeStefano L; National Academy of Medicine, Washington, DC, USA., Bear A; National Academies of Sciences, Engineering, and Medicine, Washington, DC, USA., Arora KS; General Obstetrics, Gynecology, and Midwifery, University of North Carolina, Chapel Hill, NC, USA., Dzau VJ; National Academy of Medicine, Washington, DC, USA.
Jazyk: angličtina
Zdroj: Lancet (London, England) [Lancet] 2024 Jun 22; Vol. 403 (10445), pp. 2747-2750. Date of Electronic Publication: 2024 May 22.
DOI: 10.1016/S0140-6736(24)00581-6
Abstrakt: The Dobbs v Jackson Women's Health Organization Supreme Court decision, which revoked the constitutional right to abortion in the USA, has impacted the national medical workforce. Impacts vary across states, but providers in states with restrictive abortion laws now must contend with evolving legal and ethical challenges that have the potential to affect workforce safety, mental health, education, and training opportunities, in addition to having serious impacts on patient health and far-reaching societal consequences. Moreover, Dobbs has consequences on almost every facet of the medical workforce, including on physicians, nurses, pharmacists, and others who work within the health-care system. Comprehensive research is urgently needed to understand the wide-ranging implications of Dobbs on the medical workforce, including legal, ethical, clinical, and psychological dimensions, to inform evidence-based policies and standards of care in abortion-restrictive settings. Lessons from the USA might also have global relevance for countries facing similar restrictions on reproductive care.
Competing Interests: Declaration of interests All authors are former or current members or staff of the National Academies' Standing Committee on Reproductive Health, Equity, and Society. LAS is a member of the Board of Directors of the Women's Health Action Movement Global. SCS has received royalties from SAGE publications for editorial work; was a board member of Capital District Physician's Health Plan (a regional non-profit health insurance company); and is an unpaid board member of Speare Memorial Hospital.
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Databáze: MEDLINE