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.

中文翻译：

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通过远程医疗为青少年和年轻人提供避孕保健服务：对患者和提供者观点的范围审查

客观的

该范围审查的目的是综合和确定现有研究中的差距，即远程医疗提供的女性青少年和年轻人 (AYA) 避孕保健服务的可及性以及这些服务对 AYA 患者及其医疗提供者的可接受性。

方法

我们检索了 PubMed、Scopus、Embase 和 CINAHL 数据库，以提取关于 10 至 24 岁非住院、非慢性病女性 AYA 的远程医疗和提供避孕服务的相关研究。

结果

我们筛选了 154 篇文章，代表 5 项研究的 6 篇文章符合完整的纳入标准。三项研究从提供者的角度评估了远程医疗的可接受性和可及性，3 项研究描述了患者对理论远程医疗就诊的感知可及性和可接受性。没有研究直接评估 AYA 患者对避孕服务的实际远程医疗就诊的满意度。提供者认为远程医疗提供的性和生殖健康 (SRH) 服务对他们自己和 AYA 患者来说是可以接受的。大多数 AYA 报告说他们会使用远程医疗来提供 SRH 服务，尽管他们更喜欢面对面的护理。所有文章都将隐私和保密问题视为 SRH 远程医疗护理的障碍。

结论

尽管患者报告更喜欢亲自护理，但提供者和大多数 AYA 患者认为远程医疗提供的 AYA 避孕保健服务是可以接受和获得的。然而，这些发现都不是基于患者对 SRH 远程医疗的实际体验。需要进一步的研究来直接评估远程医疗为女性 AYA 患者提供的避孕保健服务的可及性和可接受性。