靠近医院的产科护理在南方深处的一个产妇沙漠
Jenna James1, Steven R Schultze1, Alyssa Lee1
1J. James, A. Lee, A. Perkins, and C. L. Daniel are with the College of Medicine, University of South Alabama, Mobile. S. R. Schultze is with the departments of Geography and Earth Sciences, University of South Alabama, Mobile.
阿拉巴马州Conecuh县农村地区的孕妇面临着严重的地理障碍,无法获得产妇护理. 这项研究强调了需要地理上定制的公共卫生政策,以改善围产期护理的准入.
科学领域:
- 公共卫生 公共卫生
- 农村卫生 农村卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 联邦合格医疗中心 (FQHCs) 对农村医疗保健的准入至关重要.
- 评估产妇护理的地理障碍对于服务规划至关重要.
研究的目的:
- 评估阿拉巴马州一个农村县的孕产妇护理医院设施的可访问性.
- 在FQHC启动产前护理服务时提供信息.
主要方法:
- 分析从产妇住所到分娩医院的驾驶距离.
- 利用重要的统计数据 (2019-2021) 和地理信息系统 (GIS) 软件.
- 专注于阿拉巴马州的Conecuh县.
主要成果:
- 分析了370例分娩;368例发生在医院.
- 大多数分娩都是在居住地23英里 (中位数) 之内.
- 一些妇女为了获得产科护理而旅行超过70英里.
结论:
- 在Conecuh县,孕妇患者在产前护理方面遇到严重的地理障碍.
- 地理信息系统分析有效地识别了农村妇女获得医疗保健的挑战.
- 需要地理定制的公共卫生政策来解决这些差异.
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