产前护理访问的频率:为产前护理时间表制定核心成果集的议定书
Mark Turrentine1, Buu-Hac Nguyen2, Beth Choby3,4
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, United States.
JMIR research protocols
|June 1, 2023
概括
这项研究开发了一个核心结果集 (COS) 来评估产前护理计划. 新的COS将改善各种产前护理交付模式的报告结果的一致性和以患者为中心.
科学领域:
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
- 基于证据的实践.
背景情况:
- 产前护理对于改善妊娠结果至关重要,但最佳的访问频率和内容仍在争论中.
- 美国目前的指导方针建议为低风险个人提供12-14次访问的百年历史的时间表.
- 随着COVID-19大流行,产前护理的提供发生了变化,包括远程医疗,突出了更新评估方法的必要性.
研究的目的:
- 开发一个核心结果集 (COS) 来评估产前护理计划频率对母亲和婴儿结果的影响.
- 为评估不同产前护理提供模式建立标准化结果.
- 加强对产前护理疗效的研究的一致性和以患者为中心.
主要方法:
- 系统的文献审查,以确定相关的结果.
- 一个三轮的Delphi过程,涉及多种利益相关者 (患者,提供者,决策者) 来评价结果的重要性.
- 一次数字共识会议,最终确定核心成果.
主要成果:
- 共有71个利益相关者被邀请参加2022年7月启动的德尔菲调查.
- 数字共识会议于2022年10月11日举行.
- 数据分析正在进行中,结果计划在未来公布.
结论:
- 需要进一步的研究来确定最佳产前护理计划的频率和模式.
- 在产前护理评估中标准化结果测量将有助于证据综合.
- 开发的COS将促进一致的,以患者为中心的报告,从而有可能提高产前护理的有效性.
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