Emergency Department Directors Are Willing to Expand Reproductive Health Services for Adolescents
| Autor: | Feliciano B. Yu, Lauren S. Chernick, Michael Turco, Donna B. Jeffe, Thomas C. Bailey, Kristin Stukus, Fahd A. Ahmad, Chris Carpenter |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Reproductive health care Gonorrhea Psychological intervention Sexually Transmitted Diseases Article Physician Executives 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Intervention (counseling) Medicine Humans Mass Screening Practice Patterns Physicians' Reproductive health 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine Emergency department medicine.disease United States Test (assessment) Cross-Sectional Studies Family medicine Pediatrics Perinatology and Child Health Female Reproductive Health Services business Emergency Service Hospital Pregnancy prevention |
| Zdroj: | Journal of pediatric and adolescent gynecology. 32(2) |
| ISSN: | 1873-4332 |
| Popis: | Study Objective Nearly 20 million adolescents receive emergency department (ED) care each year, many of whom have untreated reproductive health issues. ED visits represent an opportunity to provide appropriate care, however, ED physician reproductive health care practices and capabilities in the United States have not been described. We sought to characterize pediatric ED director's individual practice and ED system resources for providing adolescent reproductive health care. Design, Setting, Participants, and Interventions We invited pediatric ED division and/or medical directors nationally to participate in an anonymous, online survey. Main Outcome Measures Outcomes included ED directors' personal practice regarding providing adolescent patients reproductive health care, and their ED's resources and standard practice regarding screening adolescents for sexually transmitted infections (STIs) and other reproductive health concerns. Results One hundred thirty-five of 442 (30.5%) ED directors responded. Respondents were 73% (90/124) male, with a median of 18 (interquartile range, 13-23) years of experience and 63% (84/134) working in urban EDs. Seventy-one percent (90/130) preferred face-to-face interviews for obtaining a sexual history, but only 59% (77/130) of participants “always ask parents to leave the room for sensitive questions.” Eighty-four percent (106/127) were receptive to pregnancy prevention interventions being initiated in the ED, with 75% (80/106) of those willing to provide an intervention. Only 16% (21/128) indicated their ED has a universal STI screening program, and only 18% (23/126) “always” successfully notify patients of a positive STI test. Conclusion ED directors are comfortable providing adolescent reproductive health care, and many individual- and ED-level opportunities exist to provide improved reproductive health care for adolescents in the ED. |
| Databáze: | OpenAIRE |
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