Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review

Kanagasabai, Parimala S.; Filoche, Sara; Grainger, Rebecca; Henry, Claire; Hay‐Smith, Jean

doi:10.1002/ijgo.14224

Cited by 7 publications

(3 citation statements)

References 44 publications

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Section: Barriers To Care Access For Patients With Heavy Menstrual Bl...mentioning

confidence: 99%

“…Two systematic reviews have investigated barriers to accessing care for HMB and current interventions to improve access to care. 15,16 Literature on both of these topics is limited, which shows that HMB has not had the research investment that is critically required.…”

Section: Barrier S To C Are Acce Ss For Patients With He Av Y Men S T...mentioning

confidence: 99%

“…Our institution recently conducted a scoping (mapping) review to explore the literature on abnormal uterine bleeding to identify theories and sources of evidence to inform interventions for improving access to care. 16 There were a limited number of studies available in this area. Twenty studies were identified, with most (n = 13) targeting tertiary organizational changes, such as outpatient services, commonly conducted in western or high-income countries.…”

Section: Barrier S To C Are Acce Ss For Patients With He Av Y Men S T...mentioning

confidence: 99%

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Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID‐19 pandemic

Henry

Filoche

2023

Intl J Gynecology & Obste

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The symptom of heavy menstrual bleeding (HMB) affects at least a quarter of reproductive‐age menstruators. However, given the variance in diagnosing the underlying causes, barriers, and inequity in access to care for HMB, and therefore reporting of HMB, this figure is likely to be a gross underestimate. HMB can have a detrimental impact on quality of life. From the limited reports available it is estimated that around 50%–80% of people with HMB do not seek care for this debilitating symptom, and for those that do, it may take years until the first treatment action. Almost half of those with HMB believe their condition is unworthy of treatment, that there is no treatment available, or that it is “normal”. The term “medical gaslighting” has recently been used to describe how healthcare professionals disregard people's symptoms. This has the ensuing effect of negatively compounding self‐doubt and embarrassment around menstrual bleeding, creating a cycle of diminished experience inhibiting further seeking of care. There is a scarcity of intervention studies informing increased access to care. Multilevel approaches are needed to increase access to care and support for those with HMB. During the COVID‐19 global pandemic, barriers to care access and support for HMB have been exacerbated and, given the significant pressures that this pandemic has placed on healthcare services worldwide, it will take many years to recover. In the meantime, it is crucial to ensure that medically “benign” conditions such as the symptom of HMB are not overlooked.

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Section: Barriers To Care Access For Patients With Heavy Menstrual Bl...mentioning

confidence: 99%

Section: Barrier S To C Are Acce Ss For Patients With He Av Y Men S T...mentioning

confidence: 99%

Section: Barrier S To C Are Acce Ss For Patients With He Av Y Men S T...mentioning

confidence: 99%

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Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID‐19 pandemic

Henry

Filoche

2023

Intl J Gynecology & Obste

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Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review

Kanagasabai

Filoche

Grainger

et al. 2022

Intl J Gynecology & Obste

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Connecting the Dots on Female Digital Health Education: A Systematic Review

Johnson,

Tafuto

2024

Semin Reprod Med

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Identified barriers to care for common, chronic conditions that impact millions of females suggest that patient education is critical to improving the care experience, expediting a diagnosis, and elevating outcomes. This article aims to understand the efficacy of digital patient education interventions on patient outcomes, specifically those addressing common causes of chronic abnormal uterine bleeding, premenstrual dysphoric disorder, and endometriosis. We queried MEDLINE, PubMed, Cochrane Library, and Google Scholar for articles published in English between January 1, 2014, and May 1, 2024, on digital patient education and urogenital diseases. The search identified 260 articles, 247 of which were retrieved for title and abstract review, 27 of which were retrieved for full-text review, and 25 of which were excluded. Two studies were included in this review. Both studies were individual-/community-level interventions involving digitally delivered patient education. Participants had received a diagnosis and were engaged in accessing care when enrolled, and each study was conducted at a single site. Both interventions produced positive results. Despite the potential of digital health education to improve patient outcomes, limited research in this field underscores the need for further studies to validate interventions and address gaps in knowledge.

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Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review

Abstract: Background: Women with abnormal uterine bleeding (AUB) experience barriers to accessing healthcare services.Objectives: To identify and describe the evidence on interventions to improve healthcare access of women with AUB.

Cited by 7 publications

References 44 publications

Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID‐19 pandemic

Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID‐19 pandemic

Interventions to improve access to care for abnormal uterine bleeding: A systematic scoping review

Connecting the Dots on Female Digital Health Education: A Systematic Review

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