劳动诱导的实践变化:妇女在决策过程中的作用
Anne E M Brabers1, Tamar M Van Haaren-Ten Haken2, Judit K J Keulen2
1Nivel (Netherlands Institute for Health Services Research), Utrecht, The Netherlands. a.brabers@nivel.nl.
Research in health services & regions
|February 18, 2025
概括
妇女对分娩的态度会影响她们决定引产 (IOL). 然而,这一单一因素并不能完全解释产妇护理网络 (MCN) 之间IOL率的巨大差异.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 在荷兰的产妇护理网络 (MCN) 中,产妇诱导率 (IOL) 差异很大,从14.3%到41.1%.
- 了解导致这种变化的因素对于标准化护理和改善患者治疗结果至关重要.
研究的目的:
- 调查个体女性因素 (微观层面) 和她们的社会背景 (中层面) 对IOL决策的影响.
- 确定这些因素在多大程度上解释了不同MCN之间观察到的IOL率的变化.
主要方法:
- 在六个MCN (三个高IOL,三个低IOL) 中,对180名接受内腔眼镜咨询的妇女进行了在线问卷调查.
- 收集的数据包括女性对分娩的态度,IOL的原因和社会规范.
- 使用描述性统计和回归分析来检查这些因素与IOL的预期决定之间的关系.
主要成果:
- 一个女人的对分娩的态度,特别是她对分娩作为医疗过程的看法,与她对IOL的意图决定有很大关系.
- 那些将分娩视为更医疗化的女性,有更高的意图诱导分娩的可能性.
- 在ICL的预期决策中,在ICL百分比高和低的MCN的女性之间没有发现显著的差异,这表明个人态度解释了网络之间较少的变化.
结论:
- 虽然女性对分娩的态度在她们个人对IOL的决定中发挥着作用,但它们并不能完全解释在MCN之间观察到的实质性实践差异.
- 需要进一步的研究来探索医疗保健提供者 (微层) 和MCN层 (meso层) 的机制,这些机制有助于IOL率的变化.
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