通过RE-AIM框架评估上海的堕胎后护理的实施:对提供者观点的定性研究
Jingfen Zhu1,2, Ming Hua2, Qicong Tian2
1Department of Obstetrics and Gynecology, Shanghai General Hospital, Shanghai, China.
Reproductive health
|October 1, 2025
概括
堕胎后护理 (PAC) 服务对生殖健康是有效的,但面临着挑战. 资金,推广和后续行动不足,阻碍了更广泛的获取和可持续性.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 堕胎后护理 (PAC) 对于减少重复堕胎和改善妇女生殖健康至关重要.
- 现有的PAC服务研究主要集中在患者的经验和结果上,对实施障碍和促进者的探索有限.
研究的目的:
- 评估上海堕胎后护理 (PAC) 服务的现状和挑战.
- 提供基于数据的建议,以加强PAC服务并促进其更广泛的采用.
主要方法:
- 使用分层抽样方法,选择了上海提供PAC服务的七家医院.
- 与医疗保健提供者进行了半结构化访谈,利用RE-AIM框架提供指导.
- 数据分析涉及演和归纳分析技术.
主要成果:
- 在研究医院内,PAC服务的可访问性很高,但有限的宣传和意识限制了更广泛的患者接触.
- 服务对堕胎后的康复和避孕药的使用产生了积极的影响,但资源配置带来了挑战.
- 工作人员和机构持积极态度,但资金和人员短缺阻碍了推广,采用和提供者士气.
- 标准化的流程促进了良好的实施,尽管低效的后续方法构成了重大障碍.
- 增加政策支持对于服务的可持续性至关重要.
结论:
- 堕胎后护理 (PAC) 服务在增强避孕行为和保护女性生殖健康方面是可行的和有效的.
- 主要挑战包括资金不足和患者随访的困难.
- 调查结果为改善PAC服务质量提供了洞察力,并倡导将其纳入政府生殖健康服务的基本内容.
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