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初产妇产前护理:女性对替代护理套餐看法的离散选择实验。

Antenatal care for first time mothers: a discrete choice experiment of women's views on alternative packages of care.

机构信息

Institute of Health and Society, University of Newcastle, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, United Kingdom.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2010 Jul;151(1):33-7. doi: 10.1016/j.ejogrb.2010.03.015. Epub 2010 Apr 24.

DOI:10.1016/j.ejogrb.2010.03.015
PMID:20456855
Abstract

OBJECTIVE

To investigate the views of women in relation to the provision of antenatal care.

METHODS

A discrete choice experiment using a sample of 100 women who were nulliparous (pregnant for the first time) and attending for routine ultrasound scan in the 20th week of their pregnancy.

RESULTS

Women preferred antenatal care visits to be provided by a community midwife at a local clinic and to have 10 visits rather than 7. In addition they favoured the provision of education/preparation for birth, the use of uterine artery Doppler screening, and the provision of a telephone advice line. The results show that women were prepared to trade-off fewer antenatal care visits to ensure access to their packages of antenatal care that reflected their preferences.

CONCLUSIONS

Whilst the number of antenatal care visits is important to women they may accept fewer visits if antenatal care is provided by midwives and they receive enhanced service provision such as a telephone advice line and uterine artery Doppler screening.

摘要

目的

调查女性对提供产前护理的看法。

方法

采用离散选择实验,对 100 名初产妇(第一次怀孕)进行研究,这些孕妇在怀孕 20 周时接受常规超声扫描。

结果

女性希望由社区助产士在当地诊所提供产前护理访问,并希望进行 10 次访问而不是 7 次。此外,她们还赞成提供生育教育/准备、使用子宫动脉多普勒筛查以及提供电话咨询服务。结果表明,女性愿意减少产前护理访问次数,以确保获得符合其偏好的产前护理套餐。

结论

尽管产前护理访问次数对女性很重要,但如果由助产士提供产前护理,并且提供了增强的服务,如电话咨询服务和子宫动脉多普勒筛查,她们可能会接受较少的访问次数。

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