美国医疗保健提供者对计划生育设置的看法和做法
The Journal of clinical ethics
|February 19, 2024
概括
美国的医疗保健提供者对医院和非医院分娩有不同的看法,这影响了证据解释和咨询. 关于风险优先考虑存在紧张关系,但合作可以优化孕产妇和新生儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗保健提供者的观点 医疗保健提供者的观点
背景情况:
- 对于美国医疗保健提供者对出生设置实践的理解有限.
- 专注于证据,咨询和医院内与医院外分娩的共享决策.
研究的目的:
- 探索美国医疗保健提供者对医院内与医院外分娩设置的看法.
- 了解提供者对证据,咨询和决策过程的解释.
主要方法:
- 19个深入的,半结构化的定性访谈.
- 参与者包括美国各地的产科医生,助产士和儿科医生.
- 在美国医疗,伦理和法律背景下探索提供者的经验.
主要成果:
- 在医院内外提供者之间关于风险-收益价值的意识形态紧张局势.
- 医生们引用了美国关于延迟医院护理增加新生儿风险的数据;助产士们引用了欧洲关于出院分娩更好的结果的数据.
- 提供者揭示了对出生设置的预期咨询存在差距,并注意到不对称的权力动态.
结论:
- 优化母婴和新生儿结果的共同目标,尽管风险优先级有所不同.
- 研究结果表明,通过相互尊重和综合护理,有机会进行合作.
- 强调需要改善沟通和共同决策,以选择出生地点.
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