采用虚拟产前访问,与定期的虚拟或遗漏的产后护理访问联系在一起
Jusung Lee1, Wondimu Samuel Manalew2
1Department of Public Health, College for Health, Community and Policy, University of Texas at San Antonio, San Antonio, TX 78249, United States.
Midwifery
|December 9, 2023
概括
虚拟产前访问增加了产后虚拟护理,但也增加了遗忘护理. 预约和数据不可用等障碍限制了虚拟产后访问,影响了公平获得医疗保健.
科学领域:
- 孕产妇健康 孕产妇健康
- 远程医疗服务是远程医疗服务.
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 调查产前和产后访问方式之间的关联.
- 评估怀孕期间虚拟访问的障碍及其与分娩后访问类型的联系.
研究的目的:
- 检查虚拟产前访问体验和产后访问方式之间的关系.
- 确定影响虚拟和亲自产后护理之间的选择因素.
主要方法:
- 利用来自怀孕风险评估监测系统 (2020-2021) 的重复横截面数据.
- 包括11,258名接受了产前和产后检查的妇女.
- 采用多项物流回归来分析虚拟产前访问体验与产后访问模式之间的关联.
主要成果:
- 大约三分之一的虚拟产前访问妇女选择了虚拟产后护理.
- 虚拟产前访问与虚拟产后访问 (OR 8.54) 和没有办公室访问 (OR 1.61) 的可能性更高.
- 在产前护理期间缺乏虚拟预约 (OR 0.58) 和蜂数据 (OR 0.18) 减少了虚拟产后访问的可能性.
结论:
- 虚拟产前护理与增加的虚拟产后护理有关,但也与更高的护理遗忘率有关.
- 虚拟预约和蜂数据的不可用性对虚拟医疗保健的访问构成了重大障碍.
- 调查结果强调,需要制定战略,确保在孕产妇医疗保健中实现公平和可持续的远程医疗.
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