四个国家的地方,区域和国家产妇系统的产妇护理的流行后规划:一种混合方法研究
Hiten D Mistry1,2, Sergio A Silverio1,3, Emma Duncan4
1Department of Women & Children's Health, King's College London, London, UK.
Health and social care delivery research
|September 13, 2025
概括
COVID-19显著改变了产妇护理,在很大程度上保持了怀孕结果,但恶化了患者和提供者的经验. 在产妇系统中实施联合生产可以提高护理质量和应对未来健康危机的弹性.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,基本的产妇护理服务需要进行重大重新配置.
- 最初的担忧集中在孕妇/产后妇女和婴儿对感染的脆弱性增加.
- 产妇护理在平衡感染控制与服务提供方面面临挑战.
研究的目的:
- 分析COVID-19期间产妇护理重新配置对怀孕结果和不平等的影响.
- 探索妇女,伴侣和医疗保健专业人员提供/接受产妇护理的经验.
- 评估生育年龄妇女的疫苗接种情况,并确定影响因素.
主要方法:
- 混合方法研究,包括对例行收集的孕产妇数据的定量分析.
- 定性方法:深入采访和对患者和提供者经验的系统审查.
- 通过倾听活动和政策实验室,对疫苗接种和利益相关者的参与进行国家调查.
主要成果:
- 怀孕结果在很大程度上遵循了大流行前的趋势,但虚拟产前护理与不良结果和成本增加有关.
- 年龄较大和白人种族与更高的疫苗接种率有关;种族影响最强.
- 系统审查强调了需要个性化,共同设计的护理,而采访显示,由于不信任和错误信息,人们对疫苗犹不决.
结论:
- 产妇护理重新配置保留了结果,但减少了护理经验.
- 一个丧的劳动力和与虚拟护理相关的成本增加是令人担忧的重大问题.
- 在产妇系统中实施联合生产为改善护理,增强经验和建立抵御未来健康冲击的弹性提供了一条途径.
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