Providing Contraceptive Health Services to Adolescents and Young Adults by Telemedicine: A Scoping Review of Patient and Provider Perspectives.
J Pediatr Adolesc Gynecol
; 35(5): 575-584, 2022 Oct.
Article
in English
| MEDLINE | ID: covidwho-2084450
ABSTRACT
OBJECTIVE:
The objective of this scoping review is to synthesize and identify gaps in existing research on accessibility of telemedicine-delivered contraceptive health services to female adolescents and young adults (AYAs) and acceptability of these services to AYA patients and their medical providers.METHODS:
We searched the PubMed, Scopus, Embase, and CINAHL databases to extract relevant studies on telemedicine and provision of contraceptive services among non-institutionalized, non-chronically ill female AYAs, ages 10 through 24 years.RESULTS:
We screened 154 articles, and 6 articles representing 5 studies met the full inclusion criteria. Three studies assessed telemedicine acceptability and accessibility from the perspective of providers, and 3 described patients' perceived accessibility and acceptability of a theoretical telemedicine visit. No studies directly assessed AYA patients' satisfaction with actual telemedicine visits for contraceptive services. Providers viewed telemedicine-delivered sexual and reproductive health (SRH) services as acceptable to themselves and AYA patients. Most AYAs reported that they would use telemedicine for SRH services, although they would prefer in-person care. All articles identified concerns about privacy and confidentiality as a barrier to SRH telemedicine care.CONCLUSIONS:
Telemedicine-delivered contraceptive health services for AYAs were perceived as acceptable and accessible by providers and by most AYA patients, although patients reported a preference for in-person care. However, none of these findings are based on patients' actual experiences with SRH telemedicine. Further research is needed to directly assess the accessibility and acceptability of telemedicine-delivered contraceptive health services for female AYA patients.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Adolescent Health Services
/
Telemedicine
/
Reproductive Health Services
Type of study:
Qualitative research
/
Reviews
Limits:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Young adult
Language:
English
Journal:
J Pediatr Adolesc Gynecol
Journal subject:
Gynecology
/
Pediatrics
Year:
2022
Document Type:
Article
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