为土著和托雷斯海峡岛民社区在国家服务上进行受控分娩提供环境:参与行动研究
Yvette Roe1, Jyai Allen1, Penny Haora1
1Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Australia.
Women and birth : journal of the Australian College of Midwives
|December 14, 2023
概括
政策,资金和法律法规中的障碍阻碍了土著和托雷斯海峡岛民社区控制的卫生服务建立乡村分娩服务. 解决这些问题可以扩大文化上安全的产妇护理.
科学领域:
- 土著健康土著健康
- 孕产妇护理改革 孕产妇护理改革
- 卫生服务实施方案
背景情况:
- 在国外分娩服务提供健康和成本优惠,但需要对产妇护理进行重新设计.
- 之前的可行性研究面临的挑战是通过助产士使用和分娩中心许可证.
研究的目的:
- 确定阻碍社区控制卫生服务在昆士兰州和新南威尔士州实施乡村分娩服务的障碍.
主要方法:
- 利用参与式行动研究来识别实施障碍.
- 进行反复的文档分析,综合政策,经济,社会,技术,法律和环境因素.
主要成果:
- 政策障碍限制了社区控制的卫生服务在公共医院雇用认可的助产士.
- 经济障碍包括缺乏可持续的资金和对认可的助产士的医疗保险账单不足.
- 法律障碍使得分娩中心需要一名医生,阻碍了独立的运作.
结论:
- 研究结果与有关助产士实践障碍的现有文献一致.
- 建议包括对障碍进行国家审计,开发资金流,并将私人设施法规与安全分娩中心证据保持一致.
- 政府干预对于克服障碍和扩大土著和托雷斯海峡岛民社区控制分娩在国家服务至关重要.
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