没有像家一样的地方:优化产前住院患者的体验
Ashley M Hesson1, Kavya Davuluri2, C Kenzie Corbin2
1Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA. ahesson@med.umich.edu.
Maternal health, neonatology and perinatology
|July 31, 2024
概括
住院的孕妇,特别是黑人患者和患有慢性疾病的孕妇,面临更高的风险. 患者的满意度取决于在产前护理期间被提供者倾听和被合作伙伴支持的感觉.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 描述了住院产前患者的人口统计数据.
- 将发病率与国家趋势进行比较.
- 确定患者满意度的预测因素,以提高公平护理.
研究的目的:
- 描述现代住院产前人口的人口结构.
- 将这一子集的发病率与国家发病率趋势进行比较.
- 确定住院期间满意度的预测因素,以告知增强公平产前护理的机会.
主要方法:
- 调查了298名住院产前患者 (2011-2019).
- 使用多重对应分析对组患者.
- 进行多变量分析以确定满意度预测因素.
主要成果:
- 确定了三个患者群:资源有限的工人,首次母亲和医疗复杂的患者.
- 资源限制与较低的满意度相关 (p<0.01).
- 合作伙伴和提供者支持强烈预测了更好的患者体验 (p<0.01).
结论:
- 黑人患者和患有慢性疾病的患者在住院产前患者中占有过多的比例.
- 患者提供者沟通和合作伙伴支持是获得满意度的关键.
- 加强沟通和伙伴参与对于住院高风险产科护理至关重要.
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