scholarly journals Identity and the Availability of Emergency Contraception from Pharmacies in Istanbul

2022 ◽  
Vol 22 (2) ◽  
pp. 35-45
Author(s):  
Mary Lou O'Neil ◽  
Bahar Aldanmaz
Keyword(s):  
Health Care ◽  
Random Sample ◽  
Young Women ◽  
Emergency Contraception ◽  
Care Experience ◽  
Health Care Experience ◽  
Standard Scenario ◽  
Mystery Shoppers

Emergency contraception (EC) has been and remains available in Turkey without prescription since 2002. This study attempted to determine the availability of emergency contraception from pharmacies in Istanbul, Turkey and whether the identity of the purchaser had any impact on availability. More specifically, we sought to understand if young women feel shamed or denied access to EC. This study employed a mystery patient/shopper approach where mystery patients attempted to purchase emergency contraception from a random sample of 352 pharmacies in Istanbul. Mystery shoppers, ages 18-22, were trained and provided a standard scenario and identity. The identities included: conservative/ religious female; secular/modern female; and male. After each pharmacy visit, the mystery patients recorded the details of their attempts to purchase EC. In 95.4% of visits mystery shoppers were able to purchase EC. Despite the availability of several types of EC, little choice was given to shoppers. Male mystery shoppers were given more choice of EC than their female counterparts and were more often able to purchase the less expensive form of EC. In the majority of transactions, pharmacists offered no medical instructions or recommendations. EC is widely available from pharmacies in Istanbul but lack of choice and information from pharmacists result in a less than ideal health care experience.

scholarly journals The Impact of COVID-19 on the Delivery of Critical Health Care: Experience From a Non–High-Income Country

2020 ◽  
Vol 32 (8) ◽  
pp. 473-475
Author(s):  
Thirunavukarasu Kumanan ◽  
Chrishanthi Rajasooriyar ◽  
Mahesan Guruparan ◽  
Nadarajah Sreeharan
Keyword(s):  
Health Care ◽  
High Income ◽  
Income Country ◽  
High Income Country ◽  
Care Experience ◽  
Health Care Experience ◽  
The Impact ◽  
Critical Health Care

scholarly journals Association of Low-Value Care Exposure With Health Care Experience Ratings Among Patient Panels

2021 ◽  
Author(s):  
Prachi Sanghavi ◽  
J. Michael McWilliams ◽  
Aaron L. Schwartz ◽  
Alan M. Zaslavsky
Keyword(s):  
Health Care ◽  
Care Experience ◽  
Health Care Experience

Accompanying the Path of Maternity: The Life History of a Colombian Doula

2021 ◽  
Vol 30 (3) ◽  
pp. 145-158
Author(s):  
Daniel F. M. Suárez-Baquero ◽  
Jane Dimmitt Champion
Keyword(s):  
Health Care ◽  
Life History ◽  
Life Experiences ◽  
Health Inequities ◽  
Growing Up ◽  
Central Theme ◽  
Care Experience ◽  
Health Care Experience ◽  
History Of ◽  
Women's Role

Doulas have fundamentally improved the health-care experience of pregnant women internationally. Women who recognize the importance of not being alone during pregnancy have embraced this role for centuries. However, less is known about doulas practicing in countries experiencing health inequities like Colombia. Miller's methodology and Atkinson's interview domain was used to answer the question “What life experiences led a Colombian woman to become a doula?” A central theme emerged, “A calling from within: Growing up to accompany the transition from woman to mother.” The path to becoming a doula evolved from life experiences involving health inequities, and a sense of femininity, maternity, and the women's role in rural Colombia.

scholarly journals Emergency contraception from the pharmacy 20 years on: a mystery shopper study

2020 ◽  
pp. bmjsrh-2020-200648 ◽  
Author(s):  
Anna Glasier ◽  
Paula Baraitser ◽  
Lisa McDaid ◽  
John Norrie ◽  
Andrew Radley ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Study Design ◽  
Emergency Contraception ◽  
Routine Practice ◽  
Standard Scenario ◽  
Mystery Shopper ◽  
Mystery Shoppers ◽  
The Uk

BackgroundEmergency contraception (EC) was approved in the UK as a pharmacy medicine for purchase without prescription in 2001. Twenty years later we conducted a study to characterise routine practice pharmacy provision of EC.Study designMystery shopper study of 30 pharmacies in Edinburgh, Dundee and London participating in a clinical trial of contraception after EC.MethodsMystery shoppers, aged ≥16 years, followed a standard scenario requesting EC. After the pharmacy visit, they completed a proforma recording the duration of the consultation, where it took place, and whether advice was given to them about the importance of ongoing contraception after EC.ResultsFifty-five mystery shopper visits were conducted. The median reported duration of the consultation with the pharmacist was 6 (range 1–18) min. Consultations took place in a private room in 34 cases (62%) and at the shop counter in the remainder. In 27 cases (49%) women received advice about ongoing contraception. Eleven women (20%) left the pharmacy without EC due to lack of supplies or of a trained pharmacist. Most women were generally positive about the consultation.ConclusionsWhile availability of EC from UK pharmacies has undoubtedly improved access, the necessity to have a consultation, however helpful, with a pharmacist introduces delays and around one in five of our mystery shoppers left without getting EC. Consultations in private are not always possible and little advice is given about ongoing contraception. It is time to make EC available without a pharmacy consultation.

Narratives and Embodied Knowing in the NICU

2012 ◽  
Vol 31 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Catherine Ringham
Keyword(s):  
Health Care ◽  
Neonatal Intensive Care ◽  
Embodied Knowledge ◽  
Complex Care ◽  
Neonatal Nurses ◽  
Care Experience ◽  
Health Care Experience ◽  
Ethical Decisions ◽  
Embodied Knowing ◽  
Everyday Work

The author draws on narratives as an illustration of embodied knowledge and argues for the importance of using embodied knowing to inform ethical decisions in the neonatal setting. Nurses have a unique perspective of the complex care associated with neonatal intensive care (NIC). NIC nurses listen to parent’s stories and share their own practice stories, leading to an intimate appreciation of a family’s particular response to their health care experience. These narratives can deepen understanding of how nurses go about doing their everyday work, describe experiences in everyday practice, and help the writer come to terms with traumatic events. Moreover, nurses’ narratives provide a voice, an expression of their embodied knowledge. By telling and listening to nurses’ stories, we can better understand how embodied knowledge supports families in crisis. The narratives in this article are examples of the challenges neonatal nurses face in using embodied knowing to enhance relationships with families. These narratives may help nurses to reflect on their practice and cultivate relationships with families in the NICU.

An Overview of the Canadian Health Care Experience

1986 ◽  
Vol 37 (11) ◽  
pp. 1115-1118
Author(s):  
Judith H. Gold ◽  
R. Ian Hector ◽  
Frederic Grunberg
Keyword(s):  
Health Care ◽  
Care Experience ◽  
Health Care Experience ◽  
Canadian Health ◽  
Canadian Health Care
Sign in / Sign up

Export Citation Format

Share Document