妇女健康中心:一个快速的混合方法评估
Kelly Daniel1, Jennifer Bousfield2, Lucy Hocking2
1Health Services Management Centre, School of Social Policy, University of Birmingham, Birmingham, UK.
现有的妇女健康中心提供综合护理,但国家规模扩大需要资金和量身定制的当地设计. 需要进一步评估,以评估系统层面的影响和成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 妇女健康 妇女健康
- 综合护理模式 综合护理模式
背景情况:
- 妇女的性和生殖健康护理需求是复杂的,并且在整个生命过程中各不相同.
- 目前提供的服务是分散的,导致在获得护理方面存在不平等.
- 妇女健康中心是改善妇女护理整合和成果的新兴模式.
研究的目的:
- 绘制英国现有的妇女健康中心的地图.
- 探索提供和利用这些枢纽的经验.
- 确定政策和实践的关键特征和早期成功指标.
主要方法:
- 混合方法评估,包括全国调查和利益相关者采访.
- 在四个中心站点进行深入的案例研究,与工作人员和女性一起.
- 文件分析和综合来自多个工作包的发现.
主要成果:
- 确定了17个不同的妇女健康中心,主要由全科医生领导.
- 妇女报告了积极的经验,理由是方便和关怀服务.
- 促进者包括强大的领导力和劳动力能力; 挑战涉及资金和整合.
结论:
- 现有的中心提供综合护理,但许多都处于早期发展阶段.
- 关于系统级影响和成本效益的证据仍在出现.
- 国家规模扩大需要大量资金,量身定制的当地设计,并仔细考虑潜在的不平等.
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