产妇健康领域的共同创作和代码设计:过程,结果和实施挑战.
Mohamed Rishard1,2, Kavinda Rajaratne3, Kavinda Jayasingha3
1Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka mrishard@obg.cmb.ac.lk.
共同创作和共同设计通过让利益相关者参与开发文化相关服务来增强孕产妇护理. 虽然有希望,但关于有效性的证据需要通过强大的研究设计进行进一步调查.
科学领域:
- 孕产妇健康 孕产妇健康
- 共同设计和共同创作
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共同创造和共同设计在医疗保健中越来越多地被用于改善服务提供.
- 它们在孕产妇健康中的应用旨在通过利益相关者的参与来加强护理.
- 了解流程,障碍和促进者对于有效实施至关重要.
研究的目的:
- 系统地审查共同创造和共同设计在孕产妇健康中的应用.
- 描述过程,包括障碍物和促进者.
- 总结报告的临床和经验结果.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在 2014-2025 年期间搜索了多个数据库 (PubMed,MEDLINE,Embase,Cochrane,ScienceDirect).
- 包括60项定性和定量研究,由于异质性而导致叙事综合.
主要成果:
- 共同创作/共同设计用于开发心理社会支持,沟通工具和数字健康干预措施.
- 报告的关键结果是接受度,满意度,参与度和感知相关性.
- 挑战包括权力不平衡和资源限制;推动者是利益相关者的参与和代设计.
结论:
- 共同创作和共同设计可以支持文化相关和公平的孕产妇护理,当它被描述得很好并且适合环境时.
- 目前的证据不足以就有效性得出坚定的结论.
- 未来的研究需要透明的报告,具体的机制/背景,以及更强大的比较设计.
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