审计和反是一种有效的实施策略,以提高对多组件产业诱导协议的忠诚度,旨在减少产科不平等
Rebecca F Hamm1,2, Sreya Pattipati3, Lisa D Levine3,4
1Department of Obstetrics & Gynecology, University of Pennsylvania, 3400 Spruce Street, 2 Silverstein, PA, Philadelphia, 19104, USA. Rebecca.feldmanhamm@uphs.upenn.edu.
审计和反 (A&F) 改善了对分娩诱导协议的遵守,减少了产科不平等. 增加A&F频率可能会进一步改善结果并解决健康差异.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健 实施 科学 科学
背景情况:
- 标准化劳动诱导 (IOL) 协议可以减少产科的种族不平等.
- 审计和反 (A&F) 用于解决复杂的IOL协议的实施障碍.
研究的目的:
- 评估 A&F 对忠实于 IOL 协议的可接受性和影响.
- 从数量和质量上评估A&F作为实施战略的有效性.
主要方法:
- 一个混合试验的二次分析比较了2年前 (PRE) 和2年后 (POST) A&F实施的IOL协议忠实度.
- 通过图表审查评估了对8个协议组件的忠诚度;在POST期间,每季度分发A&F报告.
- 定性访谈评估了A&F报告的可接受性.
主要成果:
- 在实施后,8个IOL协议组件中的4个组件的忠实性显著增加.
- 两个组件的持续改善被观察到,而另外两个组件在A&F报告后的第一个月显示出峰值忠实度.
- 定性数据表明,A&F是可以接受的,激励的,对临床医生有帮助的.
结论:
- 审计和反 (A&F) 有效地提高了劳动诱导协议的特定组件的忠诚度.
- 建议在未来针对产科结果和健康不平等的干预中考虑增加A&F频率.
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