重新设计产前护理:未来使用实施框架建立基于人口的多学科的第一季度查,评估和预防服务
Ailsa Borbolla Foster1,2, Jennifer Haxton1, Nicole Bennett1
1Department of Maternity and Gynaecology, John Hunter Hospital, New Lambton Hts, New South Wales, Australia.
概括
澳大利亚的产前护理重新设计改善了高风险怀孕的早期查和干预. 这种新的方法,使用联合设计,成功地减少了初次专家访问的妊娠中位数,提高了产妇护理公平性.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 澳大利亚的不良产科结果显示,尽管推了查指南,但改善幅度很小.
- 在临床实践中,以人口为基础的产科并发症的第一季度查尚未得到广泛采用.
研究的目的:
- 在澳大利亚公共卫生保健环境中重新设计产前护理.
- 实施基于证据的孕产妇护理,包括第一季度查和高风险怀孕的早期干预.
主要方法:
- 利用基于实施科学的五阶段行动过程模型.
- 探索了改变的障碍,并与消费者共同设计了一个新的产前服务.
- 建立了一个以人口为基础的产前途径,具有多学科的第一季度查,评估和规划.
主要成果:
- 利益相关者的观点定义了变革的理由,并确定了障碍.
- 共同设计方法产生了解决方案,解决了所识别的障碍.
- 实施导致怀孕中位数在第一个专业产妇护理医生访问时从20周减少到13周.
结论:
- 证实了在澳大利亚公共卫生保健中实施全面的第一季度查计划的可行性.
- 突出了共同设计过程,优先考虑产前护理中的个性化评估.
- 该框架可能适用于大多数澳大利亚公共产妇机构,旨在提供公平的护理,包括在农村地区.
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