对实施社区杜拉支持的医院和支付人的定性研究
Christina Gebel1, Elysia Larson2,3, Heather A Olden4
1Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts.
Journal of midwifery & women's health
|January 19, 2024
概括
实施杜拉护理需要的不仅仅是资金;它需要利益相关方的支持,冠军和支持的文化. 了解这些因素是扩大医院杜拉支持的关键.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健 实施 科学 科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 杜拉护理显著改善了分娩结果,但仍未得到充分利用.
- 对杜拉支持的需求增加需要确定实施障碍和促进者的存在.
- 医院和付款人的观点对杜拉计划的实施至关重要.
研究的目的:
- 检查医院和支付人之间杜拉计划的实施情况.
- 确定影响杜拉服务成功整合的上下文因素.
- 了解杜拉计划实施的不同阶段.
主要方法:
- 使用焦点小组讨论与4家医院和2家支付机构的代表进行定性研究.
- 根据实施状态分类的杜拉计划:预期,初始和高级.
- 采用实施研究综合框架 (CFIR) 的专题分析.
主要成果:
- 关键主题包括结果数据的价值和支持杜拉护理的事证据.
- 实施是资源密集型的,超出了直接的doula资金.
- 个人倡导者 (例如助产士) 和支持性的组织文化至关重要.
结论:
- 成功实施杜拉计划需要将研究证据与事结合起来,以获得利益相关者的支持.
- 资源分配必须考虑实施支持,而不仅仅是资金.
- 组织文化极大地影响了杜拉护理的采用,强调健康公平.
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