新量身定制的产前护理交付的利益相关者的观点
Asavari Rajpurkar1, Yannet Daniel, Christopher M Zahn
1Department of Surgery, the Department of Obstetrics and Gynecology, and the College of Literature, Science, and the Arts, University of Michigan, and the University of Michigan Medical School, Ann Arbor, Michigan; the Society for Maternal-Fetal Medicine and the American College of Obstetricians and Gynecologists, Washington, DC; and Baylor College of Medicine, Houston, Texas.
利益相关者发现,在孕期适当的量身定制医疗保健计划 (PATH) 模式有望改善产前保健. 成功实施需要解决资源需求和潜在的不平等问题,以确保所有孕妇获得优质和公平的结果.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健政策 医疗保健政策
- 健康 公平 卫生 公平
背景情况:
- 量身定制的产前护理模式正在出现,以满足各种患者需求.
- 孕期适当量身定制医疗保健计划 (PATH) 是一项旨在加强产前护理的新建议.
- 评估利益相关者的观点对于成功采用新的医疗保健模式至关重要.
研究的目的:
- 评估产科利益相关者的观点,以采用PATH产前护理建议.
- 确定PATH组件的实施障碍和必要的支持.
- 探索对解决社会需求,远程医疗和产前护理的有针对性的访问时间表的态度.
主要方法:
- 从2022年3月到2023年6月,在全国范围内进行了定性焦点小组.
- 招募了一组多样化的临床医生,患者,政策制定者和付款人的样本.
- 对感知障碍的定性内容分析以及PATH实施所需的支持.
主要成果:
- 利益相关者普遍支持护理定制,但对潜在的不平等表示担忧.
- 解决社会需求至关重要,但资源限制和协作挑战仍然存在.
- 远程医疗和有针对性的访问对访问和效率有希望,但需要仔细实施,以避免加剧差异.
结论:
- 对于改善产前护理质量,公平性和有效性,PATH模型被认为是可以接受和可行的.
- 综合多层次的实施考虑对于PATH在各种环境中的可持续使用至关重要.
- 解决利益相关者对公平性和资源的担忧是成功采用PATH的关键.
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