探索孕产妇护理中杜拉服务的创新模式:关于促进公平和解决差异的定性研究
Grace Mabiala-Maye1, Kayode Olabanji2, Keyonna M King2
1Department of Health Services Research and Administration, University of Nebraska Medical Center (UNMC), Omaha, NE, USA.
整合杜拉护理可以改善边缘化社区的母亲和婴儿健康结果. 政策改革和协作模式对于可持续的杜拉融合和公平获得服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,母亲和婴儿的健康差异仍然存在,不成比例地影响到边缘化社区.
- 杜拉改善了分娩结果,减少了不平等,但她们的融入产妇护理是有限的.
研究的目的:
- 探索不同杜拉模特的角色和挑战.
- 确定杜拉整合的系统性障碍.
- 提出可持续实施杜拉服务的战略.
主要方法:
- 符合COREQ指南的定性现象学研究.
- 在内布拉斯加州和田纳西州的20个利益相关者的有目的和雪球采样.
- 半结构面试和使用Dedoose软件进行的主题分析.
主要成果:
- 出现了三个主题:杜拉类型 (私人,医院,社区) 及其影响/障碍.
- 整合策略:混合模式,公共卫生伙伴关系,咨询委员会.
- 政策建议:医疗补助的扩大,公平的补偿,标准化的培训/认证.
结论:
- 政策改革和协作模式可以优化杜拉服务并改善围产期结果.
- 可持续的资金,标准化的认证和公共卫生伙伴关系对于公平获得杜拉护理至关重要.
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