Brodribb Wendy, Miller Yvette
Discipline of General Practice, School of Medicine, The University of Queensland, Level 8, Health Sciences Building, RBWH, Herston, Qld 4029, Australia.
School of Public Health and Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Qld 4059, Australia. Email.
Aust Health Rev. 2015 Jun;39(3):337-343. doi: 10.1071/AH14055.
Although home visiting in the early post partum period appears to have increased, there are limited data defining which women receive a visit and none that include Queensland. We aimed to investigate patterns of post partum home visiting in the public and private sectors in Queensland.
Data were collected via a retrospective cross-sectional survey of women birthing in Queensland between 1 February and 31 May 2010 at 4 months post partum (n = 6948). Logistic regression was used to assess associations between receiving a home visit and sociodemographic, clinical and hospital variables. Analyses were stratified by public and private birthing sector because of significant differences between sectors.
Public sector women were more likely to receive a visit from a nurse or midwife (from the hospital or child health sector) within 10 days of hospital discharge (67.2%) than private sector women (7.2%). Length of hospital stay was associated with home visiting in both sectors. Some vulnerable subpopulations in both sectors were more likely to be visited, whereas others were not.
Home visiting in Queensland varies markedly between the public and private sector and is less common in some vulnerable populations. Further consideration to improving the equity of community post partum care in Queensland is needed.
尽管产后早期的家访似乎有所增加，但关于哪些女性接受家访的数据有限，且没有包括昆士兰州的相关数据。我们旨在调查昆士兰州公共部门和私营部门产后家访的模式。
通过对2010年2月1日至5月31日在昆士兰州分娩的女性产后4个月（n = 6948）进行回顾性横断面调查收集数据。使用逻辑回归评估接受家访与社会人口统计学、临床和医院变量之间的关联。由于不同部门之间存在显著差异，分析按公共和私营分娩部门进行分层。
公共部门的女性在出院后10天内比私营部门的女性（7.2%）更有可能接受护士或助产士（来自医院或儿童健康部门）的家访（67.2%）。住院时间与两个部门的家访都有关联。两个部门中的一些弱势群体更有可能接受家访，而其他群体则不然。
昆士兰州公共部门和私营部门之间的家访差异显著，并且在一些弱势群体中不太常见。需要进一步考虑改善昆士兰州社区产后护理的公平性。
