关于出生计划结构和内容的共识:修改后的德尔菲研究
Françoise Vendittelli1,2, Lucie Adalid3, Violaine Peyronnet4,5
1Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, Clermont-Ferrand, France.
概括
法国在一个标准化出生计划结构上达成了全国共识. 这种通过Delphi过程开发的新分娩计划包括8个部分和19个子部分,以改善分娩体验.
科学领域:
- 围产期健康 围产期健康
- 患者体验 患者体验
- 建立医疗保健共识 建立医疗保健共识
背景情况:
- 在法国,计划生育的使用和结构不一致,这限制了对其影响的研究.
- 出生计划内容的异质性阻碍了对分娩经验的评估.
- 确定了对法国标准化分娩计划的需求.
研究的目的:
- 建立法国国家对出生计划最佳结构和内容的共识.
- 为法国的出生计划创建一个标准化的框架.
- 增强分娩计划在了解妇女分娩经历方面的实用性.
主要方法:
- 一个经过修改的Delphi研究,涉及一个多学科的指导委员会和围产专业人员.
- 三轮电子共识与用户代表和医疗保健提供者建立共识.
- 一个外部委员会审查了拟议的出生计划的可理解性和最终内容.
主要成果:
- 一个最初的提案是103个配方,分为8个部分和30个子部分.
- 36到42名小组成员参加了三次德尔菲共识轮.
- 批准了由8个部分和19个子部分组成的最终结构化分娩计划.
结论:
- 法国通过德尔菲进程达成了一项结构化分娩计划的全国共识.
- 完成的分娩计划由8个部分和19个子部分组成.
- 包括用户代表确保了以患者为中心的发展.
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