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澳大利亚怀孕前糖尿病患者的医疗保健服务提供经验:通过农村和大都市地区的比较进行跨部门调查的结果
Ellen Payne1,2, Susan Heaney3,4, Clare E Collins1,4
1School of Health Sciences, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.
澳大利亚农村地区的妇女在怀孕期间患有糖尿病,与大都会的同行相比,对产前护理的满意度较低,对专家的访问也较少. 这凸显了这一群体在医疗保健提供方面的差异.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 怀孕期间的糖尿病影响着不同地理位置的妇女.
- 产前医疗保健经验可以根据地理位置而有很大差异.
- 了解这些变化对于公平的医疗保健提供至关重要.
研究的目的:
- 描述澳大利亚在怀孕期间先前患有糖尿病的澳大利亚人的产前医疗保健服务.
- 将这些经验在各大都市,区域和农村环境中进行比较.
- 为了确定护理和满意度水平的差异.
主要方法:
- 一项横截面的在线调查在澳大利亚各地进行.
- 参与者包括18岁以上的妇女,在过去两年内患有妊娠糖尿病,目前没有怀孕.
- 收集的数据包括人口统计,护理准入,行驶距离和满意度.
主要成果:
- 分析了668个答案 (489个大都会,74个区域,101个农村).
- 与大都市 (53.2%) 相比,农村参与者不太可能咨询内分泌科医生 (34.8%).
- 农村受访者报告说,他们对整体护理的满意度明显较低 (p=0.011).
结论:
- 在农村和大都市地区之间,孕期糖尿病妇女的产前护理存在差异.
- 这些发现可以为改善澳大利亚农村产前保健的规划提供信息.
- 需要进一步的研究来确定农村妇女想要的具体改进.
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