了解VA产妇护理协调员与初级保健提供者的互动和合作
Amy H Farkas1,2, Katherine Bopp1, Florine Ndakuya-Fitzgerald2
1Division of General Internal Medicine, Medical College of Wisconsin, Wauwatosa, WI 53226, USA.
产妇护理协调员 (MCC) 和初级保健提供者 (PCP) 通常有积极的互动,但存在沟通和教育差距. 改善合作可以提高怀孕退伍军人的护理.
科学领域:
- 为退伍军人提供医疗保健服务
- 孕产妇的健康结果
- 护理协调模型的模型
背景情况:
- 经验丰富的母亲由于慢性疾病而面临更高的发病率.
- 退伍军人事务部实施了产妇护理协调员 (MCC) 以改善怀孕护理.
- 了解MCC和初级保健提供者 (PCP) 的合作是有限的.
研究的目的:
- 探索产妇护理协调员 (MCC) 和初级保健提供者 (PCP) 之间的互动.
- 为怀孕的退伍军人确定MCC和PCP之间合作的促进者和障碍.
主要方法:
- 在2021年3月至5月期间,与30家MCC进行了定性访谈.
- 使用半结构面试指南收集有关MCC角色和PCP相互作用的数据.
主要成果:
- 出现了三个主题:初始互动,持续的护理协调和妊娠末期的过渡.
- 大多数MCC报告了与PCP的积极和合作关系.
- 与怀孕的退伍军人合作强度和PCP舒适度的变化被注意到.
结论:
- 有机会加强沟通和PCP教育生育福利和照顾孕妇/产后退伍军人.
- 医疗保健中心的作用可以作为改善其他卫生系统护理协调的典范.
- 加强PCP-MCC合作对于优化VA系统内的孕产妇护理至关重要.
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