专业人士对英格兰产妇护理障碍的看法:一项定性研究
Kerry Brennan-Tovey1, Kausiki Sarma2, Dafni Lima3
1Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. Kerry.brennan-tovey@newcastle.ac.uk.
BMC pregnancy and childbirth
|February 10, 2026
概括
医疗保健专业人员认为结构性,互动性和个人障碍阻止低收入孕妇获得产妇护理. 解决方案包括数字工具和旅行券,以改善弱势母亲的机会.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在英格兰,低收入妇女面临死产,早产和产妇死亡的风险更高.
- 在怀孕期间,社会经济劣势限制了获得基本健康和护理服务的机会.
- 障碍包括低健康素养,数字排斥和社会支持不足.
研究的目的:
- 探索医疗保健专业人员对低收入孕妇进入产妇护理所面临的障碍的理解.
- 确定社会经济因素如何影响与产妇服务的参与.
- 为改善公平获得护理的战略提供信息.
主要方法:
- 使用半结构面试对17名医疗保健专业人员 (助产士,健康访问者,VCSE从业人员) 进行定性研究.
- 参与者通过故意的雪球采样在英格兰东北部招募.
- 在生态系统理论的指导下,对匿名数据进行主题分析.
主要成果:
- 专业人士发现了三个层次的障碍:结构性 (数字排斥,语言,人员),交互性 (有限的社交网络,种族主义) 和个人 (旅行费用,对专业人员的恐惧).
- 数字排斥和语言障碍是重大结构性挑战.
- 个人障碍包括财务限制和对医疗保健提供者的判断恐惧.
结论:
- 医疗保健专业人员认为,低收入孕妇获得产科护理的障碍很大.
- 解决语言,社会支持,旅行费用和专业关系至关重要.
- 建议包括实施回收智能手机,数字翻译应用程序和旅行券,以改善访问.
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