Knudsen J L
Dansk Sygehus Institut, København.
Ugeskr Laeger. 1991 Feb 4;153(6):435-9.
In this investigation, the planning of antenatal care in the Danish hospital districts was compared with the directives for antenatal and maternity care issued by the Danish Ministry of Health in 1985. Information about planning was obtained by means of a questionnaire sent to the authorities responsible. The results reveal that, in the hospital districts, there is a tendency to emphasize routine measures at the expense of services based more on requirements. In addition, the investigation reveals that planning differs in the various hospital districts, and that in many hospital districts, local conditions in maternity clinics and midwives' centres may be decisive for planning. The health services which are offered to pregnant women with the same requirements are thus characterized by geographic variations. Finally, the investigation reveals that the hospital districts deviate from the directives issued by the Ministry of Health in their planning of antenatal care. The possible reasons for this are discussed.
在这项调查中,将丹麦医院辖区内的产前护理规划与丹麦卫生部1985年发布的产前和产妇护理指南进行了比较。通过向负责当局发送调查问卷的方式获取了有关规划的信息。结果显示,在医院辖区内,存在一种以牺牲更多基于需求的服务为代价而强调常规措施的趋势。此外,调查还显示,各个医院辖区的规划存在差异,而且在许多医院辖区,产科诊所和助产士中心的当地情况可能对规划起决定性作用。因此,为有相同需求的孕妇提供的卫生服务具有地域差异的特点。最后,调查显示,医院辖区在产前护理规划方面偏离了卫生部发布的指南。并对造成这种情况的可能原因进行了讨论。