用生殖自主度来衡量护理质量的患者观点:一种定性研究
Meredith G Manze1, Silpa Srinivasulu2, Heidi E Jones2
1City University of New York, Graduate School of Public Health & Health Policy, 55 W 125th Street, New York, NY, 10027, USA. Meredith.manze@sph.cuny.edu.
BMC women's health
|December 4, 2023
概括
患者的观点显示,需要以生殖自主为中心的生殖健康护理质量指标. 未来的研究应该制定反映患者对公正信息和支持的愿望的措施.
科学领域:
- 生殖健康 生殖健康
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 当前的生殖健康护理质量指标往往忽视了患者的愿望和生殖自主权.
- 现有的措施,如意外怀孕率,无法捕捉完整的患者体验.
研究的目的:
- 探索患者对测量生殖健康护理质量的替代指标的观点和接受度.
- 在临床接触中调查患者关于生殖自主权的愿望.
主要方法:
- 在纽约对30名参与者 (18-45岁) 进行了5个虚拟焦点小组和8次深入采访.
- 使用半结构化指南询问参与者关于怀孕预防/尝试和质量测量的理想相互作用.
- 采用感应性主题分析来解释定性数据.
主要成果:
- 参与者希望不受评判,尊重和响应,根据他们的需求量身定制的护理.
- 患者寻求关于避孕的公正信息,以预防怀孕和全面支持怀孕.
- 发现大量支持使用生殖自主性作为质量指标.
结论:
- 患者的偏好突出了怀孕预防与尝试护理的不同需求.
- 生殖健康护理的质量必须从患者的角度来评估.
- 需要进一步的研究来开发和验证患者感知到的生殖自主性的指标.
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