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Organisation of contraceptive care and attitudes among healthcare providers in two Swedish cities with different socio-demographic profiles
Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
2015 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 20, no 3, 170-180 p.Article in journal (Refereed) Published
Abstract [en]

Objective To compare contraceptive services provided by family planning clinics in Linkoping and Norrkoping in Ostergotland County, Sweden. The two cities are of similar size but have different socio-demographic profiles. The abortion rate in Link ping (15.3 per 1000) is substantially lower than in Norrkoping (21.1 per 1000). Methods The study was performed in two steps. First, the clinics providing contraceptive services in the two cities were studied using ten pre-defined quality indicators. Thereafter, 11 healthcare providers were interviewed: six in Linkoping and five in Norrkoping. The interviews were analysed using qualitative content analysis. Results No differences were found in the organisation of contraceptive care in the two cities. Neither city met the criteria for five of the ten quality indicators. The analysis of the interviews generated four themes: Guidelines and electronic record template, Criteria for good contraceptive counselling, Availability of contraception, and Sexual health. The interviews revealed that the clinical leadership in Norrkoping was insuffincient. Conclusion Clinics in the two cities are organised in the same way so that differences in abortion rates cannot be related to differences in organisation. The reasons for the differences in abortion rates in the two cities have yet to be determined.

Place, publisher, year, edition, pages
Informa Healthcare , 2015. Vol. 20, no 3, 170-180 p.
Keyword [en]
Quality indicators; Contraceptive care; Socio-economic structure; Abortion; Content analysis
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-120059DOI: 10.3109/13625187.2014.976195ISI: 000355981900003PubMedID: 25428331OAI: oai:DiVA.org:liu-120059DiVA: diva2:839965
Note

Funding Agencies|ALF grants, County Council of Ostergotland

Available from: 2015-07-06 Created: 2015-07-06 Last updated: 2015-07-06

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Brynhildsen, JanFalk, Gabriella
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Faculty of Medicine and Health SciencesDivision of Clinical SciencesDepartment of Gynaecology and Obstetrics in Linköping
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European journal of contraception & reproductive health care
Clinical Medicine

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