建设健康的婴儿:一种混合方法需要在安大略省进行预孕计划的评估
Angela Li1, Vrati M Mehra2, Claire Jones1
1Department of Obstetrics and Gynecology, Mount Sinai Hospital, Toronto, ON; Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON.
概括
安大略省的公众成员和临床医生同意,怀孕前的患者教育计划是有价值的. 关键话题包括怀孕前健康,怀孕护理和医疗优化,并指出了各种格式偏好.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 卫生教育健康教育
背景情况:
- 怀孕前的护理对于改善母亲和婴儿的结果至关重要.
- 在安大略省,有关利益相关者对预孕计划设计的偏好存在有限的数据.
- 了解患者和临床医生的观点对于开发有效的健康倡议至关重要.
研究的目的:
- 收集安大略省临床医生和公众对设计孕前患者教育计划的看法.
- 确定首选的节目格式和基本内容领域.
- 为制定一个标准化,可访问的预孕计划提供信息.
主要方法:
- 混合方法研究利用在线调查和半结构化的视频会议重点小组.
- 使用描述和总结统计数据对调查数据进行定量分析.
- 使用常数比较方法对焦点组成绩单进行定性主题分析.
主要成果:
- 168名公众成员和43名临床医生完成了调查;11人参加了重点小组.
- 两个小组都认为怀孕前计划很重要.
- 调查支持个人初级保健预约,而焦点小组更喜欢虚拟交互式格式.
- 关键主题包括怀孕前健康,产前/产后护理以及怀孕医疗优化.
- 重点是为边缘化人口,多元文化和语言提供住宿.
结论:
- 一个标准化的孕前患者教育计划受到安大略省利益相关方的高度重视.
- 这种计划有可能提高产科结果.
- 实施可能有助于减少安大略省重大先天性异常率.
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