埃塞俄比亚东部选定的卫生机构对适当的孕产妇转诊系统的障碍:定性研究
Betelhem Mengist1, Agumasie Semahegn2,3,4, Shegaye Yibabie5
1Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
埃塞俄比亚母亲推系统的障碍包括沟通不良,交通问题和医疗保健系统的挑战. 解决这些问题对于及时干预和减少孕产妇死亡率至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 有效的孕产妇转诊系统对于降低孕产妇死亡率至关重要.
- 产科并发症需要及时干预,突出需要解决转诊系统瓶的问题.
- 埃塞俄比亚东部母亲推系统的障碍仍未得到充分研究.
研究的目的:
- 探索母亲推系统中的障碍.
- 专注于埃塞俄比亚东部选定的转诊医院.
主要方法:
- 进行了关键线人采访和深度采访.
- 有目的的抽样包括联络官,医疗保健提供者和转介的妇女.
- 使用NVivo.使用转录的采访数据的主题综合.
主要成果:
- 在通信,运输和医疗保健系统领域确定了障碍.
- 关键问题:缺乏推前的沟通/反,非正式的沟通,不完整的表格,不良的救护车服务 (包括滥用),缺乏熟练的护送人员,不足的紧急设备,不必要的自我推,不良的推技能和有限的卫生工作人员.
- 这些因素大大阻碍了母亲的转诊过程.
结论:
- 母亲推系统受到技能缺陷,后勤问题 (推表),救护车滥用,沟通不良和反机制不足的严重阻碍.
- 建议包括定期召开利益相关者会议,改善转诊沟通,确保适当使用救护车,并提高卫生工作人员在转诊过程中的能力.
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