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35 results on '"Coeytaux, Francine"'

2. Remote Delivery in Reproductive Health Care: Operation of Direct-to-Patient Telehealth Medication Abortion Services in Diverse Settings

Author

Fiastro, Anna E., Sanan, Sajal, Jacob-Files, Elizabeth, Wells, Elisa, Coeytaux, Francine, Ruben, Molly R., Bennett, Ian M., and Godfrey, Emily M.

Subjects
Telemedicine -- Methods -- Planning, Abortion services -- Methods -- Technology application, Company business planning, Technology application, Health, Science and technology
Abstract

PURPOSE Established models of reproductive health service delivery were disrupted by the coronavirus disease 2019 (COVID-19) pandemic. This study examines rapid innovation of remote abortion service operations across health care settings and describes the use of telehealth consultations with medications delivered directly to patients. METHODS We conducted semi-structured interviews with 21 clinical staff from 4 practice settings: family planning clinics, online medical services, and primary care practices-independent or within multispecialty health systems. Clinicians and administrators described their telehealth abortion services. Interviews were recorded, transcribed, and analyzed. Staff roles, policies, and procedures were compared across practice settings. RESULTS Across all practice settings, telehealth abortion services consisted of 5 operational steps: patient engagement, care consultations, payment, medication dispensing, and follow-up communication. Online services and independent primary care practices used asynchronous methods to determine eligibility and complete consultations, resulting in more efficient services (2-5 minutes), while family planning and health system clinics used synchronous video encounters requiring 10-30 minutes of clinician time. Family planning and health system primary care clinics mailed medications from clinic stock or internal pharmacies, while independent primary care practices and online services often used mail-order pharmacies. Online services offered patients asynchronous follow-up; other practice settings scheduled synchronous appointments. CONCLUSIONS Rapid innovations implemented in response to disrupted in-person reproductive health care included remote medication abortion services with telehealth assessment/follow-up and mailed medications. Though consistent operational steps were identified across health care settings, variation allowed for adaptation of services to individual sites. Understanding remote abortion service operations may facilitate dissemination of a range of patient-centered reproductive health services. Key words: telehealth; telemedicine; service operation; remote service delivery; abortion; medication abortion; pregnancy, unwanted; pregnancy, unplanned, INTRODUCTION In 2020, the coronavirus disease 2019 (COVID-19) pandemic resulted in nationwide changes in health service delivery, spurring broad shifts toward remote care and telehealth models to reduce in-clinic interactions. [...]

Published
2022
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10. Abortion

Author

Coeytaux, Francine M., primary, Leonard, Ann H., additional, and Bloomer, Carolyn M., additional

Published
2018
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13. Factors associated with successful implementation of telehealth abortion in four United States clinical practice settings

Author

Godfrey, Emily M., Fiastro, Anna E., Jacob-Files, Elizabeth A., Coeytaux, Francine M., Wells, Elisa S., Ruben, Molly R., Sanan, Sajal S., and Bennett, Ian M.

Subjects
Abortifacient Agents, Primary Health Care, SARS-CoV-2, Health Personnel, education, COVID-19, Abortion, Induced, Ambulatory Care Facilities, Article, Organizational Innovation, Telemedicine, United States, Electronic Health Records, Humans, Patient Participation, Implementation Science
Abstract

INTRODUCTION: To overcome obstacles to delivering medication abortion services during the COVID-19 pandemic, clinics and providers implemented new medication abortion service models not requiring in-person care. This study identifies organizational factors that promoted successful implementation of telehealth and adoption of “no test” medication abortion protocols. METHODS: We conducted 21 semi-structured, in-depth interviews with healthcare providers and clinic administrators implementing clinician-supported telehealth abortion during the COVID pandemic. We selected 15 clinical sites to represent four different practice settings: independent primary care practices, online medical services, specialty family planning clinics, and primary care clinics within multispecialty health systems. The Consolidated Framework for Implementation Research (CFIR) guided our thematic analysis. RESULTS: Successful implementation of telehealth abortion included access to formal and informal inter-organizational networks, including professional organizations and informal mentorship relationships with innovators in the field; organizational readiness for implementation, such as having clinic resources available for telehealth services like functional electronic health records and options for easy-to-use virtual patient-provider interactions; and motivated and effective clinic champions. CONCLUSIONS: In response to the need to offer remote clinical services, four different practice settings types leveraged key operational factors to facilitate successful implementation of telehealth abortion. Information from this study can inform implementation strategies to support the dissemination and adoption of this model. IMPLICATIONS: Examples of successfully implemented telehealth medication abortion services provide a framework that can be used to inform and implement similar patient-centered telehealth models in diverse practice settings.

Published
2021

20. Reproductive Health Care by Mail

Author

Coeytaux, Francine, Wells, Elisa, and Yen, Sophia

Subjects
reproductive and urinary physiology, humanities
Abstract

It is time to give US women the convenience and autonomy of birth control and abortion pills that women elsewhere enjoy., Stanford Social Innovation Review, 16(2), 61-62

Published
2018
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35. TIME TO SAVE WOMEN'S LIVES.

Author

Coeytaux, Francine and Taylor-McGhee, Belle

Subjects
*MATERNAL mortality, *MATERNAL health services, *REPRODUCTIVE rights, *REPRODUCTIVE health, *BIRTH control, PREVENTION of pregnancy complications, DEVELOPING countries
Abstract

The article focuses on the high number of maternal deaths and illnesses occurring worldwide particularly in developing countries. It mentions several solutions to improve maternal mortality rate which includes improving maternal care, empowering women and girls, and making contraception accessible and affordable. It adds that improving reproductive-care facilities and increasing the investment in maternal health care services especially in the rural areas will improve maternal mortality.

Published
2010

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