ArticleBMC health services research2024
Implementing digital sexual and reproductive health care services in youth clinics: a qualitative study on perceived barriers and facilitators among midwives in Stockholm, Sweden.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Sexual and Reproductive Healthcare Among Youth With Autism and ADHD: A Population-Based Study From Sweden.Autism research : official journal of the International Society for Autism Research · 2026Article
- Mapping the strategies to address the gender gap in youth clinic utilization in Sweden; explorative survey and follow up interviews.Archives of public health = Archives belges de sante publique · 2026Article
- Digital and data capabilities for sexual and reproductive health: a participatory interdisciplinary approach to workforce transformation.BMC health services research · 2026Article
- Adolescents' experiences of the public health nurse's accessibility, guidance, and counseling about sexuality: a qualitative study.Frontiers in public health · 2026Article
- Evaluation of the contextualized sexual and reproductive health educational strategy "Rurankapak": a mixed-methods quasi-experimental study among adolescents and young people in Ecuador.Frontiers in reproductive health · 2026Article
- Adolescent Voices in Action-Co-Designing Digital Sexual and Reproductive Health Knowledge Translation Interventions: Community-Based Participatory Action Project.JMIR human factors · 2025Article
- Youth Uptake of Digital Sexual and Reproductive Health Services Across Sociodemographic Groups (2018-2022): A Total Population Study from Stockholm, Sweden.Mayo Clinic proceedings. Digital health · 2025Article
- Success factors and measures for scaling patient-facing digital health technologies from leaders' insights.BMC health services research · 2025Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDigital health care services have the potential to improve access to sexual and reproductive health care for youth but require substantial implementation efforts to translate into individual and public health gains. Health care providers are influential both regarding implementation and utilization of the services, and hence, their perceptions of digital health care services and the implementation process are essential to identify and address. The aim of this study was to explore midwives' perception of digital sexual and reproductive health care services for youth, and to identify perceived barriers and facilitators of the implementation of digital health care provision in youth clinics.
methodsWe performed semi-structured interviews with midwives (n = 16) working at youth clinics providing both on-site and digital sexual and reproductive health care services to youth in Stockholm, Sweden. Interview data were analyzed using a content analysis approach guided by the Consolidated Framework for Implementation Research (CFIR).
resultsMidwives acknowledged that the implementation of digital health care improved the overall access and timeliness of the services at youth clinics. The ability to accommodate the needs of youth regarding their preferred meeting environment (digital or on-site) and easy access to follow-up consultations were identified as benefits of digital health care. Challenges to provide digital health care included communication barriers, privacy and confidentiality concerns, time constraints, inability to offer digital appointments for social counselling, and midwives' preference for in person consultations. Experiencing organizational support during the implementation was appreciated but varied between the respondents.
conclusionDigital sexual and reproductive health care services could increase access and are valuable complements to on-site services in youth clinics. Sufficient training for midwives and organizational support are crucial to ensure high quality health care. Privacy and safety concerns for the youth might aggravate implementation of digital health care. Future research could focus on equitable access and youth' perceptions of digital health care services for sexual and reproductive health.
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