帕德里诺医院:解决孕产妇死亡率的合作战略模式:在中等收入地区进行混合方法研究
María Fernanda Escobar1,2,3, María Paula Echavarría1,2,3, Javier Andrés Carvajal2
1Unidad de Equidad Global en Salud, Fundación Valle del Lili, Cra. 98 no. 18-49, Cali 760032, Colombia.
Lancet regional health. Americas
|March 6, 2024
概括
帕德里诺医院的战略显著降低了哥伦比亚考卡谷的孕产妇死亡率 (MMR). 这种协作模式提高了医院的绩效和医疗保健工作者的信心,为低收入和中等收入国家提供了可复制的解决方案.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 孕产妇健康 孕产妇健康
背景情况:
- 降低孕产妇死亡率 (MMR) 对低收入和中等收入国家 (LMICs) 至关重要,特别是在COVID-19后.
- 帕德里诺医院战略 (HPS) 是一个协作模式,将高复杂性和低复杂性医院联系起来.
- 在哥伦比亚Valle del Cauca部门 (VCD) 实施HPS旨在持续减少MMR.
研究的目的:
- 评估HPS对医院绩效的影响.
- 评估HPS对VCD中母亲健康指标的影响.
- 探索医疗保健人员与HPS的经验.
主要方法:
- 一种混合方法的方法,结合了潜在的后续和定性重点小组.
- 关于医院绩效和产妇健康指标的前性数据收集.
- 聚焦小组与来自33家医院的131名医疗保健工作者共同探索HPS的影响.
主要成果:
- 51个研讨会培训了980名医疗保健工作者,提高了产科护理能力.
- 远程医疗系统支持785例高风险怀孕,死亡率为零.
- MMR从2021年的78.8下降到2022年每10万活产婴儿中的12.0
- 医疗保健团队报告说,信心和赋权增加了.
结论:
- 帕德里诺医院的战略显著减少了VCD中的MMR.
- 在LMICs中,HPS建立了一个可复制的社会医疗保健创新模式.
- 该战略提高了医疗保健提供和人员能力.
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