在智利使用德尔菲方法对口腔尸检仪器进行专家调整和验证
Jovita de Las Rozas Ortiz Contreras1, Rodrigo Neira Contreras1, Nicolás Arancibia López2
1Departamento de Promoción de Salud de la Mujer y Recién Nacido, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Medwave
|June 19, 2025
概括
在智利开发了一种新的口头尸检仪器,以解决停滞不前的孕产妇死亡率. 该工具旨在识别导致产妇死亡的社会和文化因素,改进干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 在智利,尽管产科覆盖率很高,但孕产妇死亡率的减少却停滞不前.
- 传统的监测系统忽视了孕产妇死亡的关键社会决定因素.
- 需要加强工具,以确定产妇死亡率的根本原因.
研究的目的:
- 通过使用三次延迟模型来调整和验证口头尸检仪器.
- 在产妇死亡率监测中纳入性别和跨文化视角.
- 为了在该工具的方法和上下文质量上达成专家共识.
主要方法:
- 进行了三阶段的Delphi方法专家验证研究.
- 参与了40名母亲健康,监测,性别和跨文化方面的专家.
- 评估了七个标准,包括文化和性别相关性.
主要成果:
- 一个由95项组成的文书最终获得了85%的专家共识.
- 该工具包括心理健康,基于性别的暴力和护理质量的变量.
- 经营验证确定了实施挑战,从而制定了分阶段推广计划.
结论:
- 经过验证的仪器为监测智利的孕产妇死亡率提供了一个补充工具.
- 它有助于识别与孕产妇死亡相关的社会和结构因素.
- 可以制定文化相关的干预措施,以防止可避免的孕产妇死亡.
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