海地综合群体产前和儿科护理:全面护理伴随模式
Meredith Casella Jean-Baptiste1, Marc Julmisse2, Oluwatosin O Adeyemo3
1Maternity Department, Hôpital Universitaire de Mirebalais, Zanmi Lasante/ Partners In Health, Mirebalais, Haiti.
PloS one
|July 12, 2024
概括
通过增加产前访问和计划生育的使用,J9 Plus计划改善了母亲的护理,同时减少了严重的子宫前. 这个模型显示了全球复制的潜力,以提高母亲和儿童的健康结果.
科学领域:
- 母婴健康 母婴健康
- 公共卫生干预措施 公共卫生干预措施
- 提供医疗保健的模式.
背景情况:
- J9 Plus (J9) 计划整合了团体产前护理 (GANC),儿科护理,心理社会支持和基于社区的策略.
- 本研究评估了J9模型对围产期结局的影响.
研究的目的:
- 评估J9 Plus母婴伴随计划对围产期结果的有效性.
- 为了比较J9护理与海地医院的常规护理.
主要方法:
- 融合混合方法研究2019年出生的母婴双胞胎.
- 追溯定量分析,将J9护理与通常护理进行比较.
- 对J9护理患者体验的二次定性分析.
主要成果:
- J9护理显著增加了产前护理出席率 (93%对36%),产后访问出席率 (52%对16%),以及产后计划生育使用率 (19%对9%).
- 在J9组中,患有重症特征的孕前的发病率明显较低 (9%vs14%).
- 在J9组中,剖腹产和早产率较高,而产妇/新生儿死亡率和低出生体重没有差异.
结论:
- J9 Plus模型增强了产前和产后护理的参与度,并减少了严重的孕前,这是海地孕产妇死亡的主要原因.
- 积极结果的关键贡献者包括可访问的高质量护理,社会支持和通过教育赋予母亲权力.
- J9陪同方法是一个赋权模型,有可能在全球复制,以改善医疗保健质量和结果.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
01:15Methods of Documentation VI: Case Management Model
565
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
565
01:20Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K