对于产后父母和婴儿二位数的医疗保健获得的农村和城市差异
Sara C Handley1,2, Julia D Interrante3, Emily F Gregory1,2
1Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
概括
与城市父母相比,农村的父母面临着更差的健康结果和更少的护理机会. 将服务纳入婴儿护理系统可以改善农村父母和婴儿的健康状况.
科学领域:
- 围产期健康 围产期健康
- 农村健康差异 农村健康差异
- 医疗保健服务研究 医疗服务研究
背景情况:
- 了解农村和城市人口之间围产期健康差异对于有针对性的干预至关重要.
- 产后父母和婴儿的健康是相互关联的,影响家庭的整体福祉.
研究的目的:
- 调查农村和城市产后父母和婴儿之间围产健康和医疗保健获取方面的差异.
- 分析农村与城市环境中产后父母及其婴儿之间的家庭内健康差异.
主要方法:
- 全国卫生访谈调查 (NHIS) 数据的横截面分析.
- 计算了健康状况,医疗保健利用率和接入障碍的加权比例.
- 奇平方测试和重复测量被用来评估农村和城市之间的差异.
主要成果:
- 农村产后父母报告说,与城市父母相比,他们自我评估的健康状况更差,获得妇产科医生的机会更少,急诊室访问和住院的比例更高.
- 农村的父母更有可能没有保险,并在怀孕后失去医疗补助覆盖.
- 城市地区的婴儿住院率较高,但其他婴儿健康措施在农村和城市环境之间是相似的.
- 产后父母,无论位置如何,一般都报告健康状况较差,面临的护理障碍比他们的婴儿更多.
结论:
- 农村产后父母与城市同行和他们自己的婴儿相比,经历了严重的健康劣势和进入障碍.
- 利用现有的婴儿护理系统为产后父母提供服务的策略可能会提高农村和城市社区的整体家庭健康.
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