这是一项混合方法研究,研究了英国女性的出生地偏好和决定
Georgia E Clancy1, Felicity K Boardman2, Sophie Rees3
1Department of Sociology, University of Warwick, Coventry CV4 7AL, UK; School of Health Sciences, Queen's Medical Centre, Lenton, Nottingham NG7 2HA, UK.
概括
妇女往往更喜欢与产科单位一起分娩,但临床风险最小化往往导致医疗决定. 了解这些复杂的因素是改善产妇护理选择的关键.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健政策 医疗保健政策
- 卫生社会学 卫生社会学
背景情况:
- 英格兰的产妇护理政策旨在提供选择,但女性所希望的和实际的出生地点之间存在差距.
- 当前的政策认识到,妇女缺乏"真正的选择",面临着针对特定护理选择的压力,可能导致负面的分娩经历.
研究的目的:
- 调查影响妇女出生地偏好和决策过程的因素.
- 探索英国产妇护理中所需和实际出生地点之间的差异.
主要方法:
- 采用了一种连续的混合方法方法.
- 在线调查问卷 (n=49) 和后续访谈 (n=14) 针对英国大都会地区的孕妇或近期分娩妇女进行.
主要成果:
- 大多数女性更喜欢与产科单位一起工作,将其视为风险和医疗之间的平衡.
- 尽管偏爱并行单位,但临床风险最小化往往导致医疗化决策,取代了最初的选择.
- 诸如先前存在的疾病,生殖史和经验知识等因素影响了对分娩病房分娩的决定.
结论:
- 妇女更喜欢与产科隔离的产科单位,突出显示了一种趋势,即更少的医疗分娩选择.
- 决策涉及导航复杂的,竞争因素,包括风险和个人知识,以实现个人合适的结果.
- 尽量减少临床风险成为女性在做出最终出生地决定时的首要任务.
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