Proactive Long Acting Reversible Contraception Provision: General Practitioners' Perspectives
ESC Congress Library. Duncan R. May 10, 2018; 208111; ESC118
Ms. Rebeccca Duncan
Ms. Rebeccca Duncan
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Abstract
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Objectives - Adolescent uptake of long acting reversible contraceptives (LARCs) in New Zealand is low, so we created the concept of a proactive LARC provision programme to overcome the barriers to LARC uptake. These barriers include cost, misinformation, lack of adolescent awareness, and lack of provider awareness. When this concept was discussed with adolescents, it was positively received, and the LARC access barriers were confirmed. As one of the barriers identified was lack of provider awareness, we sought the voices of primary healthcare providers, specifically general practitioners (GPs). This qualitative research study aims to gauge GP attitudes towards LARCs and a proactive LARC provision programme.   Methods - New Zealand GPs were interviewed using a semi structured approach about their contraception provision to adolescents, and then were asked to comment on the concept of a proactive LARC provision programme.  Using a purposive sampling framework GPs were selected to ensure a varied in duration of medical career, LARC insertion ability, and patient demographic. The data collected will be transcribed and analysed using a general inductive approach to identify common themes and ideas. Results - Nine GPs were interviewed to achieve data saturation. The GPs involved varied in experience - one third practiced rurally while others had an urban focus, one third trained in New Zealand while others trained overseas, and more than half did not provide LARC methods. Data are currently being analysed and identified themes will be presented. An example quote of a GP's response to the concept of a proactive LARC provision programme was: 'Yeah. You've got to make it [contraception] accessible. And I think we're kidding ourselves if we say that contraception is accessible. I think that's a great idea.' Conclusion - As contraception provision in New Zealand is through primary care, GPs have a major role in adolescent contraception use. GPs are responsible for providing most of the contraception in New Zealand, and so uptake of methods is influenced heavily by GP contraceptive knowledge and ability. The voices of GPs are important in the development of healthcare interventions, and these are what I will present. 
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