越南农村地区初级卫生保健层面分娩服务的利用情况。
Utilization of delivery services at the primary health care level in rural Vietnam.
作者信息
Duong Dat V, Binns Colin W, Lee Andy H
机构信息
Program for Appropriate Technology in Health, 5th Floor, 57 Quang Trung Street, Hanoi, Viet Nam.
出版信息
Soc Sci Med. 2004 Dec;59(12):2585-95. doi: 10.1016/j.socscimed.2004.04.007.
The objective of this study is to investigate factors that influence the utilization of delivery services at the primary health care level in rural Vietnam. A quantitative survey was conducted amongst 200 women who had given birth within the past 3 months. Focus group discussions and in-depth-interviews were then undertaken using the attitudes--social influence--self-efficacy model to obtain complementary information on the delivery decision. The results show that client-perceived quality of services and socio-cultural and economic factors, rather than geographical access, can affect the utilization of delivery services. It is therefore important to improve the cost-efficiency of the health care network, and delivery services should be provided in a client-oriented manner taking into account economic, social and cultural factors.
本研究的目的是调查影响越南农村地区初级卫生保健层面分娩服务利用情况的因素。对过去3个月内分娩的200名妇女进行了定量调查。随后采用态度—社会影响—自我效能模型进行焦点小组讨论和深入访谈，以获取有关分娩决策的补充信息。结果表明，客户感知的服务质量以及社会文化和经济因素，而非地理可达性，会影响分娩服务的利用情况。因此，提高医疗保健网络的成本效益很重要，并且应考虑经济、社会和文化因素，以客户为导向提供分娩服务。
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