获取利益相关者的观点,以塑造产品处方计划,以改善孕产妇和分娩结果:一个定性研究
Helene Vilme1, Fang Fang Zhang1, Perrie O'Tierney-Ginn1,2
1Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.
Frontiers in public health
|January 30, 2025
概括
通过解决孕妇的营养安全问题,生产处方计划有望改善孕妇和分娩的结果. 成功实施需要考虑患者的自主权和交付物流,支持人员的角色可能会减轻诊所的负担.
科学领域:
- 孕产妇健康 孕产妇健康
- 营养科学 营养科学
- 公共卫生干预 公共卫生干预
背景情况:
- 怀孕期间的营养不良是导致不良孕产妇和分娩结果的重要因素.
- 生产处方程序为高血压疾病和妊娠糖尿病等疾病提供了潜在的解决方案,但证据有限.
研究的目的:
- 在临床环境中为孕妇探索产品处方计划的最佳实施.
- 了解患者和诊所工作人员对计划成功的好处,缺点和上下文因素的观点.
主要方法:
- 对11名低收入/粮食不安全的孕妇患者和11名妇产科医生诊所工作人员进行了定性采访.
- 采访的重点是对参与和实施产品处方计划的态度.
- 数据分析采用了演性的定性内容分析方法.
主要成果:
- 患者和工作人员都发现了好处,例如减少了财务压力,改善了获取和加强了营养安全.
- 计划设计的关键考虑因素包括尊重患者的自主权和解决不稳定的住房等交付障碍.
- 诊所工作人员对计划实施所需的时间承诺表示担忧.
结论:
- 在这个群体中,产品处方计划得到了强有力的支持.
- 计划的成功取决于将患者的自主性纳入设计中,并解决交付挑战.
- 将查和招生分配给辅助人员可以简化诊所的实施.
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