在孕产妇健康环境中运行实施辅导:现场经验教训
Leslie deRosset1, Brooke Jones, Christine Tucker
1Author Affiliations: Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, North Carolina (Ms de Rosset, Ms Jones, Dr Tucker, Ms Mullenix and Dr Cilenti); and The University of North Carolina Collaborative for Maternal and Infant Health, The School of Medicine at the University of North Carolina, Chapel Hill, NC (Ms Bryant).
孕产妇健康学习与创新中心 (MHLIC) 的教练模式有效地为解决孕产妇死亡率的问题的国家团队建立了能力. 这一战略为团队提供了资源和领导力,以实现公平,高质量的产妇护理.
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:
- 美国面临着不断上升的孕产妇死亡率和发病率,在高收入国家中是独一无二的.
- 孕产妇健康学习与创新中心 (MHLIC) 成立,以支持州孕产妇健康创新 (MHI) 团队.
- 据了解,MHLIC的目标是建立国家能力,以应对孕产妇健康危机.
研究的目的:
- 为了描述MHLIC教练模型.
- 评估MHLIC在支持国家MHI团队能力和倡议实施方面的作用.
- 探索辅导如何促进国家层面的能力建设,战略制定和孕产妇健康倡议.
主要方法:
- 一项混合方法研究评估了MHLIC计划.
- 从教练日志 (REDCap) 收集了定量数据,从半结构面试中收集了定性数据.
- 数据包括1178次与35个州MHI团队的辅导互动,以及对来自队列1州的员工的采访.
主要成果:
- 辅导专注于建立关系,经纪资源和促进联系.
- 能力建设工作的目标是有效的参与,系统领导和健康公平.
- 主要成果包括战略规划,工作组发展,促进创新和增强数据容量.
结论:
- "MHLIC辅导模式"是改善孕产妇健康状况的一个有希望的策略.
- 实施指导可以提高州团队的能力,领导力和资源获取.
- 调查结果支持指导在加速改善孕产妇健康和促进公平护理方面的作用.
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