与健康相关的社会需求和产后与护理的联系之间的关联
Mara E Murray Horwitz1, Julianne N Dugas2, Lois McCloskey3
1Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; Women's Health Unit, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts.
近四分之一的孕妇有健康相关的社会需求. 对这些需求的查结果没有影响持续的护理联系,但不接受查与获得护理的机会降低了20%.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 怀孕后的持续护理对于母亲的健康至关重要.
- 与健康相关的社会需求 (HSN) 是已知的医疗保健获取障碍.
- 怀孕期间HSN的患病率及其对产后护理联系的影响以前是未知的.
研究的目的:
- 确定在接受基于怀孕的护理的人群中HSN的流行率.
- 评估怀孕期间发现的HSN之间的关联,以及与分娩后持续护理的联系.
主要方法:
- 2018-2021年在城市安全网医院对4941人电子健康记录的分析.
- 在怀孕期间多次对HSN进行例行查,直到产后6周.
- 与持续护理的联系,定义为产后6周至1年间的非紧急访问.
主要成果:
- 近四分之一 (24%) 的个人对HSNs进行了查,结果呈阳性.
- 53%的个人与怀孕后的持续护理有关.
- 对HSN的查阳性与持续护理的联系无关 (aRR=1.04),而未查与较低的联系有关 (aRR=0.77).
结论:
- 在怀孕期间存在HSNs的显著患病率.
- 对HSN进行查很重要,因为未接受查的个体与持续护理联系的可能性较低.
- 针对HSN的干预措施可能是必要的,以确保怀孕后的持续护理.
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