优化孕产妇医疗保健获取:印度普杜切里市公共和私人产前保健服务双重利用的混合方法研究
L Swathy Madhusoodanan1, Mahalakshmy Thulasingam1, Sathish Rajaa1
1Department of Preventive and Social Medicine, JIPMER, Puducherry, India.
概括
许多孕妇使用公共和私人产前护理 (ANC) 服务. 这种双重利用是由私人设施的感知质量和公共设施的利益驱动的,突出了需要改善服务的领域.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健服务利用率 医疗保健服务利用率
- 公私伙伴关系 公私伙伴关系
背景情况:
- 获得产前护理 (ANC) 的机会有所改善,但有些妇女同时使用多个医疗保健服务.
- 了解这种双重利用对于识别服务差距和提高护理质量至关重要.
研究的目的:
- 测量ANC组件的公共和私人医疗保健服务的并发使用情况.
- 了解孕妇这种双重使用的根本原因.
主要方法:
- 一个解释性的混合方法研究,涉及到177名母亲在Puducherry.
- 通过问卷和关键信息人采访收集的数据,使用Donabedian模型进行分析.
- 分析的重点是获取,提供服务和护理质量.
主要成果:
- 81.9%的妇女使用公共和私人设施进行ANC,但更喜欢公共设施进行分娩 (74.6%).
- 使用私人设施的原因包括感知到更高的质量,更好的组织,更短的等待时间和个性化的护理.
- 公共设施的访问与财务利益,更顺的分娩录取和较低的剖腹产率有关.
结论:
- 加强公私伙伴关系可以提高ANC的利用率.
- 解决推动双重利用的因素可以提高整体的孕产妇医疗保健服务和结果.
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