在历史上代表性较低的母婴二元组中,围产期医疗保健的获取,感知质量和偏好:混合方法研究
Nicole C Amodio1, Victoria Cueto1,2, Elizabeth Znamierowski1,3
1Yale School of Medicine, Yale University, New Haven, CT, USA.
BMC pregnancy and childbirth
|August 26, 2025
概括
通过了解妇女对社区支持,更好的沟通和个性化护理的需求, 解决这些因素可以减少围产期健康结果的不平等.
科学领域:
- 围产期健康
- 医疗公平
- 获得孕产妇医疗保健
背景情况:
- 孕产前和产后护理对母亲和婴儿的健康至关重要.
- 在美国,黑人和西班牙裔/拉丁裔妇女的孕产妇死亡率和发病率不成比例.
- 以患者为中心的双层护理可以改善医疗服务的准入和减少医疗服务的不平等.
研究的目的:
- 探索影响围产期医疗保健获取和有效性的因素.
- 了解来自边缘化的母亲的观点和偏好.
- 确定赋予母亲权力和促进健康倡导的机会.
主要方法:
- 通过采访和调查对移动诊所或产后心脏健康计划接受护理的妇女进行混合方法研究.
- 面试探讨了患者的观点,偏好和健康知识.
- 对人口统计,健康问题和护理偏好进行定量数据分析.
主要成果:
- 一半的参与者更喜欢在家或移动诊所进行诊所检查, 一半则因为交通问题错过了诊所预约.
- 关键主题包括:对母婴双层多层次支持,集体福利,改善提供者沟通和响应个性化的护理.
- 参与者强调需要社区,提供者参与,以及社会支持政策改革.
结论:
- 妇女的观点强调需要多层次的支持,加强社区和提供者的参与.
- 优先考虑整体,以患者为中心的方法可以改善医疗保健互动.
- 专注于患者需求对于促进围产期健康公平至关重要.
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