Abstract：
OBJECTIVE: As part of a larger mixed-methods study to better define equity in access to sexual and reproductive health (SRH) care in Georgia, this analysis sought to understand: (1) how individuals define quality care for their SRH services; and (2) how quality of care is salient in their SRH care-seeking.
METHODS: From January 2019 to February 2020, we conducted life history interviews with individuals with the capacity to become pregnant in suburban areas in Georgia. We analyzed interviews using thematic analysis.
RESULTS: SRH care quality was shaped by experiences with health center environment, with providers, and with staff. Study participants emphasized elements associated with trusted SRH care such as showing compassion, respecting and non-judging, taking time, providing information, and assuring agency. Participants also voiced a desire for holistic care that addressed the lived experiences of the individual. Participants took quality of care into account when care-seeking but sometimes had to weigh out preferences for quality with issues of affordability.
CONCLUSIONS: Access to quality person-centered care is an essential component of realized access to SRH services. Measures of equitable access and quality should account for experiences of quality care that include both provider and staff interactions as well as the larger healthcare environment and ability to use quality care despite financial constraints.
CONCLUSIONS: Quality family planning care should involve both clinicians and staff to incorporate showing compassion, providing respectful and non-judgmental care, taking time with patients, providing information, assuring agency in decision-making, as well as addressing the lived experiences of individuals.
METHODS: From January 2019 to February 2020, we conducted life history interviews with individuals with the capacity to become pregnant in suburban areas in Georgia. We analyzed interviews using thematic analysis.
RESULTS: SRH care quality was shaped by experiences with health center environment, with providers, and with staff. Study participants emphasized elements associated with trusted SRH care such as showing compassion, respecting and non-judging, taking time, providing information, and assuring agency. Participants also voiced a desire for holistic care that addressed the lived experiences of the individual. Participants took quality of care into account when care-seeking but sometimes had to weigh out preferences for quality with issues of affordability.
CONCLUSIONS: Access to quality person-centered care is an essential component of realized access to SRH services. Measures of equitable access and quality should account for experiences of quality care that include both provider and staff interactions as well as the larger healthcare environment and ability to use quality care despite financial constraints.
CONCLUSIONS: Quality family planning care should involve both clinicians and staff to incorporate showing compassion, providing respectful and non-judgmental care, taking time with patients, providing information, assuring agency in decision-making, as well as addressing the lived experiences of individuals.
摘要：
目标：作为一项更大的混合方法研究的一部分，以更好地定义佐治亚州获得SRH护理的公平性，本分析旨在了解:1)个人如何为其SRH服务定义优质护理;2)在寻求SRH护理时,护理质量如何显著.
方法：从2019年1月到2020年2月，我们对佐治亚州郊区有怀孕能力的人进行了生活史访谈。我们使用主题分析法对访谈进行了分析。
结果：SRH护理质量是由健康中心环境的经验决定的，与供应商，和工作人员。研究参与者强调了与可信的SRH护理相关的因素，如表现出同情心，尊重和不评判，花时间,提供信息,和保证机构。参与者还表达了对解决个人生活经历的整体护理的愿望。参与者在寻求护理时考虑了护理质量，但有时不得不权衡对质量的偏好与负担能力问题。
结论：获得以人为中心的优质护理是实现获得SRH服务的重要组成部分。公平获取和质量的措施应考虑到优质护理的经验，其中包括提供者和员工的互动以及更大的医疗保健环境和使用优质护理的能力，尽管存在财务限制。
结论：优质的计划生育护理应包括临床医生和工作人员，以表现出同情心，提供尊重和非评判性的护理，花时间和病人在一起，提供信息,确保机构在决策中，以及解决个人的生活经验。
方法：从2019年1月到2020年2月，我们对佐治亚州郊区有怀孕能力的人进行了生活史访谈。我们使用主题分析法对访谈进行了分析。
结果：SRH护理质量是由健康中心环境的经验决定的，与供应商，和工作人员。研究参与者强调了与可信的SRH护理相关的因素，如表现出同情心，尊重和不评判，花时间,提供信息,和保证机构。参与者还表达了对解决个人生活经历的整体护理的愿望。参与者在寻求护理时考虑了护理质量，但有时不得不权衡对质量的偏好与负担能力问题。
结论：获得以人为中心的优质护理是实现获得SRH服务的重要组成部分。公平获取和质量的措施应考虑到优质护理的经验，其中包括提供者和员工的互动以及更大的医疗保健环境和使用优质护理的能力，尽管存在财务限制。
结论：优质的计划生育护理应包括临床医生和工作人员，以表现出同情心，提供尊重和非评判性的护理，花时间和病人在一起，提供信息,确保机构在决策中，以及解决个人的生活经验。
