优先考虑文化上适当的干预措施,以增加新西兰新西兰的产前免疫接种:德尔菲研究
Louise Fangupo1, Amber Young1, Matt Hobbs2,3
1He Rau Kawakawa │School of Pharmacy, Ōtākou Whakaihu Waka│ University of Otago, PO Box 56, Dunedin 9054, New Zealand.
需要适当的文化干预措施来提高新西兰的产前免疫率. 作为一个关键战略,优先考虑了为孕妇提供外展免疫服务.
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
- 孕产妇健康 孕产妇健康
背景情况:
- 在新西兰阿托亚罗亚,流感和百日咳的产前免疫率很低,而且不公平.
- 迫切需要文化上适当的干预措施来解决这些差异.
研究的目的:
- 确定和优先考虑文化上适当和公平的干预措施,以提高新西兰的产前免疫率.
主要方法:
- 一个三轮的德尔菲研究,包括40名医疗保健专业人员在第一轮和21名专家在第二轮和第三轮.
- 干预措施根据可行性,公平性和影响性被评价,使用五分利克特级别.
- 共识被定义为一个四分位数间的范围≤1.
主要成果:
- 所有10个确定的干预措施都在可行性,公平性和影响方面获得了很高的评级.
- 在第三轮结束时,10项干预措施中有8项达成共识.
- 对哈普玛玛 (孕妇) 的外展免疫服务是最常见的优先干预措施.
结论:
- 确定的10项干预措施显示出高可行性,公平性和影响力.
- 建议在制定提高新西兰产前免疫率的战略时考虑这些干预措施.
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