全球产前医疗保健服务的公平:总体审查
Zeenat Ladak1,2, Nagma Grewal3, Minji Olivia Kim3
1University of Toronto, Toronto, Canada. zeenat.ladak@mail.utoronto.ca.
公平获得产前护理对母亲和婴儿健康至关重要. 本次审查确定了持续存在的不平等现象,并强调了社区卫生工作者和虚拟护理等创新解决方案,以改善多元社区的获取.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 公平获得优质产前医疗保健可以显著改善母亲和婴儿的健康状况.
- 尽管有政策努力,但在不同的人口群体中,在医疗保健获取和质量方面存在持续的不平等.
- 了解这些不平等对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定与公平与不公平相关的产前保健实践.
- 总结关于患者体验和健康结果的公平性和不公平性的报告方式.
- 在产前护理文献中对公平报告的特征进行整理.
主要方法:
- 采用了总体审查方法,搜索了六个主要的电子数据库.
- 包括的系统性审查被分析为研究特征,股权报告和初级/二级结果.
- 数据分析使用了PROGRESS-Plus股权框架和内容分析,使用偏差风险评估工具评估质量.
主要成果:
- 包括来自20个国家的68项系统性审查,分析了各种人口重点 (产前,产周,孕产妇,孕产妇/儿童).
- 确定的公平障碍包括财务/旅行负担,文化不敏感的做法和歧视.
- 公平促进者包括社区卫生工作者,家庭访问,有条件的现金转移,虚拟护理和跨文化培训等创新.
结论:
- 这一综合性审查综合了产前医疗保健服务的全球不平等现象.
- 这些发现提供了基于证据的机会和创新,以促进各种社区的公平产前卫生服务.
- 这一综合支持未来的研究和实践,旨在实现产前保健中的健康公平.
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