在美国农村州实施风险适当的产周护理:政策和实践的方向
Carly Holman1, Annie Glover2,3, Kaitlin Fertaly2
1Rural Institute for Inclusive Communities, University of Montana, Missoula, MT, USA. Carly.holman@mso.umt.edu.
BMC health services research
|June 8, 2023
概括
蒙大拿 蒙大拿 蒙大拿 蒙大拿
科学领域:
- 围产期护理 围产期护理
- 农村的健康 农村的健康
- 医疗保健系统 医疗保健系统
背景情况:
- 风险适当的护理对于母亲和婴儿的结果至关重要.
- 农村围产区域化面临着独特的挑战.
- 关于在农村环境中实施风险适当护理的研究有限.
研究的目的:
- 评估蒙大拿州风险适当的围产期护理系统.
- 评估疾病控制和预防中心 (CDC) 在蒙大拿州的护理水平评估工具 (LOCATe) 的实施情况.
主要方法:
- 使用了CDC LOCATe版本9.2与蒙大拿州分娩设施 (2021年7月至10月) 的初级数据.
- 纳入了2021年蒙大拿州出生记录中的二次数据.
- 收集设施人员,服务提供,演习,统计和运输信息.
主要成果:
- 几乎所有 (96%) 蒙大拿州的分娩设施都完成了LOCATe评估.
- 新生儿护理水平从I级到III级;大多数设施 (68%) 在产妇护理方面被评估为I级或更低.
- 在自我报告和LOCATe评估的孕产妇护理水平之间存在很大的差异 (40%),通常是由于缺少产科超声波和医生麻醉师.
结论:
- 蒙大拿州的LOCATe结果突出了农村产科护理人员和服务的需求.
- 农村医院使用注册护士麻醉师 (CRNA) 和远程医疗来提供专业护理.
- 将农村视角纳入国家指导方针可以提高LOCATe对国家战略的有用性.
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