Patient Satisfaction with IUD Services in a School-Based Health Center: A Pilot Study
| Autor: | Marji Gold, Michele St. Louis, Tara Stein, Aleza K. Summit |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Adolescent Psychological intervention MEDLINE Pilot Projects Intrauterine device 03 medical and health sciences 0302 clinical medicine Patient satisfaction Surveys and Questionnaires medicine Humans Center (algebra and category theory) 030212 general & internal medicine Prospective Studies Students School Health Services High rate 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine Iud insertion Patient Acceptance of Health Care Patient Satisfaction Family medicine Pediatrics Perinatology and Child Health School based Female business Intrauterine Devices |
| Zdroj: | Journal of pediatric and adolescent gynecology. 33(4) |
| ISSN: | 1873-4332 |
| Popis: | Study Objective We aimed to determine the acceptability to and satisfaction of high school students receiving an intrauterine device (IUD) at a school-based health center (SBHC). Design, Setting, Participants, Interventions, and Main Outcome Measures In this prospective pilot study at a Bronx SBHC, adolescent patients who had an IUD inserted in the SBHC between November 2010 and June 2013 completed a self-administered survey on the day of IUD insertion and a follow-up survey within 6 months. The initial survey addressed patient sexual and contraceptive history, reasons for choosing the IUD, and the insertion experience, whereas the follow-up survey addressed IUD continuation and side effects. Results In all, 104 of 139 (75%) eligible patients agreed to participate, and 75 (72%) of those completed the follow-up survey. Respondents chose IUDs because they were long-lasting, effective, private, and easy to remember, and chose the SBHC for services because it was convenient, recommended, free, and a trusted setting. Participants rated their interactions with SBHC staff highly, and almost all described their procedure experience as somewhat or very acceptable. Of the respondents, 92% were still using the IUD at the time of the follow-up survey, with 32% stating that they were somewhat satisfied and 65% stating they were very satisfied with this method of contraception. Conclusion Our research demonstrates that IUD services can be integrated into the SBHC setting with high rates of acceptability and satisfaction. Furthermore, SBHCs provide a unique and acceptable option for providing these services and have the potential to increase adolescents’ contraceptive access and choice. |
| Databáze: | OpenAIRE |
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