» Articles » PMID: 39656246

[Dimensions of Person-centeredness in Abortion Services-selected Results of the CarePreg Study]

Overview
Authors
Affiliations
Soon will be listed here.
Abstract

Person-centered care is a fundamental principle of healthcare in Germany. The concept focuses on the preferences, needs, and values of individuals in the healthcare system. Studies show that unintentionally pregnant women seeking to terminate their pregnancy may encounter legal regulations, stigmatization, and ethical and moral concerns from healthcare providers. In Germany, the implementation of person-centered care in the care of unintentionally pregnant women has been scarcely researched. The goals of the CarePreg study (running from November 2020 to July 2024) were to evaluate person-centered care in psychosocial and medical care (1) from the perspective of healthcare providers as well as (2) from the perspective of women experiencing an unintended pregnancy and abortion, and (3) to derive recommendations for the current care situation. A mixed-methods approach was chosen for the study.This article presents the methodology of the CarePreg study and reports on the findings from two workshops involving 18 experts as part of the first study phase. Participants in the workshops were professionals from psychosocial and medical services for individuals with unintended pregnancies. They considered person-centered care highly relevant to abortion services, emphasizing dimensions such as "access to care," "personalized information," and "equal collaboration and involvement in decision-making." Barriers to person-centered care discussed included the stigmatization of abortion and those providing related services as well as the current legal framework.

References
1.
Sudhinaraset M, Landrian A, Montagu D, Mugwanga Z . Is there a difference in women's experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services. PLoS One. 2019; 14(11):e0225333. PMC: 6876888. DOI: 10.1371/journal.pone.0225333. View

2.
Hsieh H, Shannon S . Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: 10.1177/1049732305276687. View

3.
Altshuler A, Whaley N . The patient perspective: perceptions of the quality of the abortion experience. Curr Opin Obstet Gynecol. 2018; 30(6):407-413. DOI: 10.1097/GCO.0000000000000492. View

4.
Lindig A, Heger S, Zill J . Assessment of relevance and actual implementation of person-centeredness in healthcare and social support services for women with unintended pregnancy in Germany (CarePreg): results of expert workshops. BMC Pregnancy Childbirth. 2024; 24(1):247. PMC: 10998354. DOI: 10.1186/s12884-024-06453-8. View

5.
Maternowska M, Mashu A, Moyo P, Withers M, Chipato T . Perceptions of misoprostol among providers and women seeking post-abortion care in Zimbabwe. Reprod Health Matters. 2015; 22(44 Suppl 1):16-25. DOI: 10.1016/S0968-8080(14)43792-3. View