现在是时候让加拿大的早期怀孕护理成为优先事项了
Vrati M Mehra1, Selena Meng1, Lynn Murphy-Kaulbeck2
1Temerty Faculty of Medicine, University of Toronto, ON.
概括
早期怀孕评估诊所 (EPAC) 提高了护理质量,并降低了早期怀孕并发症的成本. 建议通过低容量单位将EPAC扩展到加拿大农村,以改善访问.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
背景情况:
- 早期怀孕并发症,如早期流产,需要专门的护理.
- 早期怀孕评估诊所 (EPAC) 为这些并发症提供专业的,富有同情心的护理.
- 源自英国的EPAC在护理质量,等待时间和降低成本方面取得了明显的好处.
研究的目的:
- 评估加拿大的EPAC目前的可访问性.
- 提出一个模型,将EPAC服务扩展到服务不足的地区,特别是农村地区.
主要方法:
- 审查加拿大现有的EPAC服务分销.
- 分析在资源有限的环境中提供服务的潜在模式.
主要成果:
- 加拿大的EPAC服务主要集中在大型城市医院环境中.
- 对于农村和偏远地区的个人而言,存在重大访问限制.
- 由专业护士和家庭医生配备的专业支持的低体积EPAC单位被确定为一个可行的扩展模式.
结论:
- 目前加拿大的EPAC可用性不公平,农村人口面临进入障碍.
- 实施由初级保健提供者管理的低容量EPAC单位,并得到专家的支持,可以为更多加拿大人改善获得基本的早期怀孕护理的机会.
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