关键词: health care access integrative health integrative medical group visits medical group visits menopausal transition menopause perimenopause post-menopause

来  源:   DOI:10.1177/27536130241268355   PDF(Pubmed)

Abstract:
UNASSIGNED: Individuals with a uterus experience menopause, the cessation of menses, on average at age 51 years in the United States. While menopause is a natural occurrence for most, over 85% of women experience multiple interfering symptoms. Menopausal women face health disparities, including a lack of access to high-quality healthcare and greater disparities are experienced by women who are black, indigenous, and people of color. Some women are turning away from hormone therapy, and some seek integrative health interventions.
UNASSIGNED: Some menopausal women who seek healthcare do not receive it as they lack access to medical and integrative healthcare providers. A potential solution to this problem is a medical group visit (MGV), during which a provider sees multiple patients at once. The aims of this study were to gather women\'s opinions about the menopause, provider access, and conventional and integrative health interventions for later use to develop a menopause MGV.
UNASSIGNED: We conducted a Community Engagement Session and a Return of Results (RoR) with midlife women to learn about their menopause experiences, barriers and facilitators to accessing health providers, and their interest in and suggestions for designing a future integrative MGV (IMGV). Thematic qualitative research methods were used to summarize session results.
UNASSIGNED: Nine women participated in the Session and six attended the RoR. Participants were well-educated and diverse in race and ethnicity. Themes included: an interest in this topic; unfamiliar medical terms; relevant social factors; desired whole person care; interest in integrative health; barriers and facilitators to accessing healthcare. The group expressed interest in ongoing participation in the future process of adapting an IMGV, naming it MENOGAP.
UNASSIGNED: These findings highlight the importance of stakeholder engagement before designing and implementing MENOGAP and the great need among midlife women for education about the menopausal transition, integrative self-care, and healthcare.
摘要:
子宫经历更年期的人,月经停止,在美国,平均年龄为51岁。虽然更年期对大多数人来说是自然发生的,超过85%的女性经历多种干扰症状。更年期妇女面临健康差异,包括缺乏高质量的医疗保健和黑人女性经历的更大差距,土著,和有色人种。一些女性正在远离激素治疗,有些人寻求综合健康干预措施。
一些寻求医疗保健的更年期妇女由于无法获得医疗和综合医疗保健提供者而无法获得医疗保健。这个问题的一个潜在解决方案是医疗小组访问(MGV),在此期间,提供者一次看到多个患者。这项研究的目的是收集妇女对更年期的意见,提供程序访问,以及常规和综合健康干预措施,以便以后用于开发更年期MGV。
我们与中年女性进行了社区参与会议和结果回归(RoR),以了解她们的更年期经历。接触卫生提供者的障碍和促进者,以及他们对设计未来综合MGV(IMGV)的兴趣和建议。采用专题定性研究方法总结会议结果。
9名妇女参加了会议,6名妇女参加了会议。参与者受过良好的教育,种族和族裔多样化。主题包括:对该主题的兴趣;不熟悉的医学术语;相关的社会因素;期望的整个人的护理;对综合健康的兴趣;获得医疗保健的障碍和促进者。该小组表示有兴趣继续参与未来调整IMGV的进程,命名为MENOGAP。
这些发现突出了利益相关者在设计和实施MENOGAP之前参与的重要性,以及中年女性对更年期过渡教育的巨大需求。综合自我照顾,和医疗保健。
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