Primary Care Clinical Sciences, School of Health and Population Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Fam Pract. 2012 Feb;29(1):96-102. doi: 10.1093/fampra/cmr052. Epub 2011 Aug 30.
As the number of female GPs increases, the need to understand delivery of maternity care to this group becomes increasingly important. Previous literature suggests doctors face additional barriers in utilizing health care compared to other patients, but little is known about GPs' maternal health care experiences and whether their occupation facilitates or compromises care.
To explore female GPs' personal experiences of maternal health care and how occupation affects care received.
Female GPs with children aged 6 months to 5 years were recruited from South Birmingham Primary Care Trust with subsequent snowballing. Data were obtained using semi-structured interviews and constant comparison analysis was applied to develop themes and categories.
Fourteen GPs participated and no new themes emerged after interview 10 suggesting data saturation was achieved. Overall, GPs felt they received better care due to their occupation and where established relationships between the GP and the health care professional existed, communication and care satisfaction was enhanced. However, assumptions about knowledge led to reduced information provision and some problems in care provision, especially during labour and early motherhood when women were most vulnerable and unable to rely on work skills to address information deficits.
This research supports the growing body of evidence that there are unique problems facing doctor-patients and clinicians treating them. However, contrary to expectations derived from anecdotal evidence, GPs indicated that care was enhanced due to their occupation. This study raises awareness of areas for consideration when female GPs approach pregnancy and health care professionals deliver maternal health care.
随着女性全科医生数量的增加，了解她们提供产妇护理的情况变得越来越重要。先前的文献表明，与其他患者相比，医生在利用医疗保健方面面临更多的障碍，但对于全科医生的产妇保健经验以及他们的职业是促进还是损害护理知之甚少。
探讨女性全科医生在产妇保健方面的个人经历，以及职业如何影响所接受的护理。
从南伯明翰初级保健信托基金招募了有 6 个月至 5 岁孩子的女性全科医生，并随后进行了滚雪球式招募。使用半结构化访谈获取数据，并应用恒定比较分析来开发主题和类别。
共有 14 名全科医生参与了研究，访谈 10 后没有出现新的主题，表明数据已经达到饱和。总体而言，全科医生认为由于他们的职业，她们得到了更好的护理，并且在全科医生和医疗保健专业人员之间建立了良好的关系，沟通和护理满意度得到了提高。然而，由于对知识的假设，导致提供的信息减少，并且在护理提供方面出现了一些问题，特别是在分娩和早期母亲身份期间，女性最脆弱，无法依靠工作技能来解决信息不足的问题。
这项研究支持越来越多的证据表明，医生患者和治疗他们的临床医生面临着独特的问题。然而，与从轶事证据中得出的预期相反，全科医生表示，由于他们的职业，护理得到了加强。这项研究提高了人们对女性全科医生在怀孕期间和医疗保健专业人员提供产妇保健时需要考虑的领域的认识。
