54. Providing Adolescent Sexual Health Care in the Pediatric Emergency Department: Views of Health Care Providers

Miller, Melissa K.; Kelly, Patricia J.; Goggin, Kathleen; O’Malley, Donna; Owens, Rhea L.; Maliszewski, Genevieve; Mollen, Cynthia J.

doi:10.1016/j.jadohealth.2012.10.112

Cited by 10 publications

(19 citation statements)

References 25 publications

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“…14 Given the significant proportion of AYAs who do not attend annual well visits, researchers have studied the offering of health prevention services in nonprimary care settings. [15][16][17][18] Studies revealed that adolescents felt that providing contraceptive counseling and initiation in the emergency department 19,20 and in the inpatient setting 21 were acceptable. However, the perspective of medical providers on contraception initiation in the inpatient setting has not yet been explored.…”

mentioning

confidence: 99%

Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers’ Perspective

Goldstein

Carlson

Halpern‐Felsher

2018

Hospital Pediatrics

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confidence: 99%

Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers’ Perspective

Goldstein

Carlson

Halpern‐Felsher

2018

Hospital Pediatrics

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“…As an introduction to this agenda, we present these overarching themes. Barriers to accessing and providing sexual health care to adolescents in the ED have been fairly well described . However, our understanding of parental perspectives on this care could be expanded.…”

Section: Discussionmentioning

confidence: 99%

“…While it is well established that adolescent ED patients are a high‐risk population, how to provide evidence‐based sexual and reproductive health care in the unique ED setting is less clear. Genitourinary (GU) complaints are common among adolescents presenting to the ED, but providers often lack the knowledge, comfort, time, and skills to provide evidence‐based sexual health care . Many ED providers do not follow evidence‐based STI testing and treatment guidelines; further, they lack accuracy in identifying which patients tested for STIs need empiric treatment, contributing to under‐ and overtreatment for STIs Many sexually active females in the ED report recent unprotected intercourse, making them eligible for pregnancy prophylaxis with emergency contraception (EC) .…”

Section: Discussionmentioning

confidence: 99%

A Research Agenda for Emergency Medicine–based Adolescent Sexual and Reproductive Health

Miller

Chernick

Goyal

et al. 2019

Academic Emergency Medicine

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Objective: The objective was to identify key questions for emergency medicine (EM)-based adolescent sexual and reproductive health and to develop an evidence-based research agenda. Methods:We recruited national content experts to serve as advisory group members and used a modified Delphi technique to develop consensus around actionable research questions related to EM-based adolescent reproductive and sexual health care. Author subgroups conducted literature reviews and developed the initial list of research questions, which were iteratively refined with advisory members. External stakeholders then independently rated each item for its importance in expanding the evidence base (1 = not important to 5 = very important) via electronic survey.Results: Our final list of 24 research questions included items that intersected all sexual and reproductive health topics as well as questions specific to human immunodeficiency virus/sexually transmitted infections (HIV/STIs), pregnancy prevention, confidentiality/consent, public health, and barriers and facilitators to care. External stakeholders rated items related to HIV/STI, cost-effectiveness, brief intervention for sexual risk reduction, and implementation and dissemination as most important. Conclusions:We identified critical questions to inform EM-based adolescent sexual and reproductive health research. Because evidence-based care has potential to improve health outcomes while reducing costs associated with HIV/STI and unintended pregnancy, funders and researchers should consider increasing attention to these key questions.A lthough preventable, sexually transmitted infections (STIs), human immunodeficiency virus (HIV) infection, and unintended pregnancy are significant and costly public health problems in the United States that disproportionately impact adolescents, especially racial and ethnic minorities and those From the

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“…Unfortunately, there are many patient-, provider-, and systemslevel barriers to providing evidence-based contraceptive care in any clinical setting. Using nontraditional settings, such as the ED, to provide this care adds further obstacles to consider, including time constraints and patient flow concerns [10]. Importantly, EDs do not enjoy the confidentiality protections afforded for services funded under the Federal Title X Family Planning Program.…”

mentioning

confidence: 99%

Critical Access to Care: Bringing Contraception to Adolescents in Nontraditional Settings

Miller

Mollen

2017

Journal of Adolescent Health

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developing a research agenda through a consensus process to prioritize research questions, including confidentiality concerns with ED-based contraceptive provision.This work by Chernick et al. demonstrates, again, that it is unlikely that all adolescents in need of contraceptive care will complete follow-up after an ED visit. To fully address the crisis of unintended pregnancy, we need to create innovative strategies and interventions that take advantage of nontraditional settings while continuing to advocate for expanded confidential contraceptive care.

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54. Providing Adolescent Sexual Health Care in the Pediatric Emergency Department: Views of Health Care Providers

Cited by 10 publications

References 25 publications

Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers’ Perspective

Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers’ Perspective

A Research Agenda for Emergency Medicine–based Adolescent Sexual and Reproductive Health

Critical Access to Care: Bringing Contraception to Adolescents in Nontraditional Settings

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