影响高收入国家的社区产前计划普及的因素:快速的现实审查
Laura McLarty1, Susanne Coleman1, Maria Bryant2
1Leeds Institute of Clinical Trials Research, University of Leeds, UK.
社区产前计划的采用率很低,特别是在贫困地区. 了解影响访问的因素,如营销,包容性和从业者推广,对于改善参与和服务使用至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 基于社区的产前计划旨在改善贫困地区的儿童健康.
- 这些节目的低采用率需要了解获取障碍.
研究的目的:
- 确定解释未来父母如何,为什么以及在什么情况下获得社区产前计划的理论.
- 为提高高收入国家的服务利用率制定战略.
主要方法:
- 进行了快速现实主义审查.
- 包括政策文件,报告和产前路径会议观察的分析.
- 在参考组的投入下,开发了计划理论.
主要成果:
- 包括48篇论文,包括评论,单项研究和灰色文献.
- 确定了优化出席率和卫生从业人员角色的差距.
- 影响访问的因素包括营销,包容性,被认为是候选人,从业者的推广,场地可访问性和运输.
结论:
- 在文献中,产前节目访问的机制没有得到很好的定义.
- 需要对访问机制和从业人员支持进行进一步的研究.
- 涉及包括父亲和特定族群在内的多元声音对于未来的研究至关重要.
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