Northern Rivers Department of Rural Health, School of Public Health, Faculty of Medicine, The University of Sydney, New South Wales 2480, Australia.
Midwifery. 2012 Jun;28(3):366-73. doi: 10.1016/j.midw.2011.04.010.
to examine the transition of care in the postnatal period from a regional hospital to a remote health service and describe the quality and safety implications for remote dwelling Aboriginal mothers and infants.
a retrospective cohort study of maternal health service utilisation and birth outcomes, key informant interviews with health service providers and participant observation in a hospital and two remote health centres. Data were analysed using descriptive statistics and content analysis.
a maternity unit in a regional public hospital and two remote health centres within large Aboriginal communities in the Top End of the Northern Territory, Australia.
poor discharge documentation, communication and co-ordination between hospital and remote health centre staff occurred. In addition, the lack of clinical governance and a specific position holding responsibility for the postnatal discharge planning process in the hospital system were identified as serious risks to the safety of the mother and infant.
the quality and safety of discharge practices for remote dwelling mothers and their infants in the transition from hospital to their remote health service following birth need to be improved. The discharge process and service delivery model must be restructured to reduce the adverse effects of poor standards of care on mothers and infants.
考察从区域医院到偏远卫生服务机构的产后过渡期的医疗服务转衔情况，并描述其对偏远地区居住的土著母亲和婴儿的质量和安全影响。
对产妇卫生服务利用情况和分娩结果进行回顾性队列研究，对卫生服务提供者进行重点人物访谈，并在一家医院和两家偏远卫生中心进行参与式观察。使用描述性统计和内容分析对数据进行分析。
澳大利亚北部地区顶端的一个区域公立医院的产科病房和两个大型土著社区内的两家偏远卫生中心。
医院和偏远卫生中心工作人员之间的出院记录、沟通和协调存在问题。此外，还发现医院系统中缺乏临床治理以及负责产后出院规划过程的特定职位，这对母婴安全构成了严重威胁。
需要改进从医院到偏远卫生服务机构的远程居住母亲及其婴儿在过渡期间的出院实践的质量和安全性。必须对出院流程和服务提供模式进行重构，以减少护理标准不佳对母亲和婴儿的不利影响。
