Tucker Edmonds Brownsyne, Mogul Marjie, Shea Judy A
Indiana University School of Medicine, Obstetrics & Gynecology, Indianapolis (Dr Tucker Edmonds); Maternity Care Coalition, Philadelphia, Pennsylvania (Dr Mogul); and University of Pennsylvania School of Medicine (Dr Shea).
Fam Community Health. 2015 Apr-Jun;38(2):149-57. doi: 10.1097/FCH.0000000000000066.
We aimed to explore factors affecting prenatal care attendance and preferences for prenatal care experiences among low-income black women by conducting a focus group study using a community-based participatory research framework and nominal group technique. Discussions were audiorecorded, transcribed, and coded by trained reviewers. Friends/family and baby's health were the top attendance motivators. Greatest barriers were insurance, transportation, and ambivalence. Facilitators included transportation services, social support, and resource education. In a "perfect system," women wanted continuity of care, personal connection, and caring/respect from providers. Relationship-centered maternity care models may mitigate disparities. Group prenatal care may provide the continuity and support system desired.
我们旨在通过使用基于社区的参与性研究框架和名义小组技术开展焦点小组研究，探索影响低收入黑人女性产前护理就诊率的因素以及她们对产前护理体验的偏好。讨论内容由经过培训的评审人员进行录音、转录和编码。朋友/家人和婴儿健康是就诊的首要激励因素。最大的障碍是保险、交通和矛盾心理。促进因素包括交通服务、社会支持和资源教育。在“完美体系”中，女性希望获得持续护理、与医护人员建立个人联系并得到关怀/尊重。以关系为中心的孕产妇护理模式可能会减少差异。小组产前护理可能会提供所需的连续性和支持系统。
