A blueprint for a new model of sexual and reproductive health care in subspecialty medicine.

Autor: Birru Talabi, Mehret, Callegari, Lisa S., Kazmerski, Traci M., Krishnamurti, Tamar, Mosley, Elizabeth A., Borrero, Sonya
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Zdroj: Health Services Research; Feb2023, Vol. 58 Issue 1, p216-222, 7p, 4 Charts
Abstrakt: While we focus on SRH care within the adult medicine subspecialties, the pediatric subspecialty model must be similarly interrogated to meet the SRH needs of adolescents and young adults with chronic diseases.[[6], [30], [87]] We acknowledge that each medical subspecialty will have specific strengths, challenges, and resources (or lack thereof) related to SRH provision. However, on a local level, some medicine subspecialists lack professional relationships with ObGyns/MFMs, and cannot easily refer patients with urgent SRH needs.[14] In fact, patients express that their reproductive health providers and subspecialists rarely communicate or coordinate their SRH care. However, as these milestones often do not require a demonstration of competency, it is understandable why a national sample of gastroenterology fellows reported that they had received inadequate SRH training during fellowship and did not feel competent to provide SRH to patients.[[47], [49]] More data are needed to clarify the extent to which SRH is integrated into fellowship training across the medicine subspecialties. PATIENTS REQUIRE ACCURATE AND COMPREHENSIVE INFORMATION TO MAKE INFORMED SRH DECISIONS Patients may lack both basic and disease-specific knowledge about SRH, from the general efficacy of contraceptive methods or the importance of using safe medications during pregnancy to control disease activity[[74]] - which may also reflect their clinicians' lack of knowledge. [Extracted from the article]
Databáze: Complementary Index
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