Abstract：
BACKGROUND: Uptake of long-acting reversible contraception (LARC) is lower in Australia compared with other high-income countries, and access to early medical abortion (EMA) is variable with only 11% of general practitioners (GPs) providing EMA. The AusCAPPS (Australian Contraception and Abortion Primary Care Practitioner Support) Network is a virtual community of practice established to support GPs, nurses and pharmacists to provide LARC and EMA in primary care. Evaluating participant engagement with AusCAPPS presents an opportunity to understand clinician needs in relation to LARC and EMA care.
METHODS: Data were collected from July 2021 until July 2023. Numbers of online resource views on AusCAPPS were analysed descriptively and text from participant posts underwent qualitative content analysis.
RESULTS: In mid-2023 AusCAPPS had 1911 members: 1133 (59%) GPs, 439 (23%) pharmacists and 272 (14%) nurses. Concise point-of-care documents were the most frequently viewed resource type. Of the 655 posts, most were created by GPs (532, 81.2%), followed by nurses (88, 13.4%) then pharmacists (16, 2.4%). GPs most commonly posted about clinical issues (263, 49% of GP posts). Nurses posted most frequently about service implementation (24, 27% of nurse posts). Pharmacists posted most about health system and regulatory issues (7, 44% of pharmacist posts).
CONCLUSIONS: GPs, nurses and pharmacists each have professional needs for peer support and resources to initiate or continue LARC and EMA care, with GPs in particular seeking further clinical education and upskilling. Development of resources, training and implementation support may improve LARC and EMA provision in Australian primary care.
METHODS: Data were collected from July 2021 until July 2023. Numbers of online resource views on AusCAPPS were analysed descriptively and text from participant posts underwent qualitative content analysis.
RESULTS: In mid-2023 AusCAPPS had 1911 members: 1133 (59%) GPs, 439 (23%) pharmacists and 272 (14%) nurses. Concise point-of-care documents were the most frequently viewed resource type. Of the 655 posts, most were created by GPs (532, 81.2%), followed by nurses (88, 13.4%) then pharmacists (16, 2.4%). GPs most commonly posted about clinical issues (263, 49% of GP posts). Nurses posted most frequently about service implementation (24, 27% of nurse posts). Pharmacists posted most about health system and regulatory issues (7, 44% of pharmacist posts).
CONCLUSIONS: GPs, nurses and pharmacists each have professional needs for peer support and resources to initiate or continue LARC and EMA care, with GPs in particular seeking further clinical education and upskilling. Development of resources, training and implementation support may improve LARC and EMA provision in Australian primary care.
摘要：
背景：与其他高收入国家相比，澳大利亚长效可逆避孕（LARC）的摄入量较低，早期药物流产（EMA）的获取是可变的，只有11％的全科医生（GP）提供EMA。AusCAPPS（澳大利亚避孕和堕胎初级保健从业者支持）网络是为支持全科医生而建立的虚拟实践社区，护士和药剂师在初级保健中提供LARC和EMA。通过AusCAPPS评估参与者的参与为了解与LARC和EMA护理相关的临床医生需求提供了机会。
方法：数据收集时间为2021年7月至2023年7月。对有关AusCAPPS的在线资源视图的数量进行了描述性分析，并对参与者帖子的文本进行了定性内容分析。
结果：在2023年中期，AusCAPPS拥有1911名成员：1133（59％）GP，439名（23%）药剂师和272名（14%）护士。简明即时文档是最常查看的资源类型。在655个职位中，大多数是由全科医生创建的(532，81.2%)，其次是护士（88，13.4%），然后是药剂师（16，2.4%）。全科医生最常发布有关临床问题的信息（263，占全科医生职位的49％）。护士最常发布有关服务实施的信息（占护士职位的24，27％）。药剂师发布的内容最多涉及卫生系统和监管问题（占药剂师职位的7，44％）。
结论：GP，护士和药剂师都有专业的同伴支持和资源，以启动或继续LARC和EMA护理，全科医生特别寻求进一步的临床教育和提高技能。开发资源,培训和实施支持可能会改善澳大利亚初级保健中的LARC和EMA供应。
方法：数据收集时间为2021年7月至2023年7月。对有关AusCAPPS的在线资源视图的数量进行了描述性分析，并对参与者帖子的文本进行了定性内容分析。
结果：在2023年中期，AusCAPPS拥有1911名成员：1133（59％）GP，439名（23%）药剂师和272名（14%）护士。简明即时文档是最常查看的资源类型。在655个职位中，大多数是由全科医生创建的(532，81.2%)，其次是护士（88，13.4%），然后是药剂师（16，2.4%）。全科医生最常发布有关临床问题的信息（263，占全科医生职位的49％）。护士最常发布有关服务实施的信息（占护士职位的24，27％）。药剂师发布的内容最多涉及卫生系统和监管问题（占药剂师职位的7，44％）。
结论：GP，护士和药剂师都有专业的同伴支持和资源，以启动或继续LARC和EMA护理，全科医生特别寻求进一步的临床教育和提高技能。开发资源,培训和实施支持可能会改善澳大利亚初级保健中的LARC和EMA供应。
