Kim Jung-Eun, Na Baeg Ju, Kim Hyun Joo, Lee Jin Yong
The Center for Social Sciences, Seoul National University, Seoul, South Korea.
Seoul Metropolitan Government Seobuk Hospital, Seoul, South Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2016 Sep;10(3):221-227. doi: 10.1016/j.anr.2016.07.001. Epub 2016 Jul 17.
This study aimed to understand why mothers do not utilize the prenatal care and delivery services at their local hospital supported by the government program, the Supporting Program for Obstetric Care Underserved Area (SPOU).
We conducted a focus group interview by recruiting four mothers who delivered in the hospital in their community (a rural underserved obstetric care area) and another four mothers who delivered in the hospital outside of the community.
From the finding, the mothers were not satisfied with the quality of services that the community hospital provided, in terms of professionalism of the obstetric care team, and the outdated medical device and facilities. Also, the mothers believed that the hospital in the metropolitan city is better for their health as well as that of their babies. The mothers who delivered in the outside community hospital considered geographical closeness less than they did the quality of obstetric care. The mothers who delivered in the community hospital gave the reason why they chose the hospital, which was convenience and emergency preparedness due to its geographical closeness. However, they were not satisfied with the quality of services provided by the community hospital like the other mothers who delivered in the hospital outside of the community.
Therefore, in order to successfully deliver the SPOU program, the Korean government should make an effort in increasing the quality of maternity service provided in the community hospital and improving the physical factors of a community hospital such as outdated medical equipment and facilities.
本研究旨在了解为何母亲们没有利用政府项目“产科护理服务不足地区支持项目”（SPOU）所支持的当地医院的产前护理和分娩服务。
我们通过招募在社区医院（农村产科护理服务不足地区）分娩的四位母亲和在社区外医院分娩的另外四位母亲进行了焦点小组访谈。
从调查结果来看，母亲们对社区医院提供的服务质量不满意，包括产科护理团队的专业水平以及过时的医疗设备和设施。此外，母亲们认为大城市的医院对她们自己以及宝宝的健康更有利。在社区外医院分娩的母亲们认为地理位置近不如产科护理质量重要。在社区医院分娩的母亲们给出了她们选择该医院的原因，即由于地理位置近带来的便利性和应急准备。然而，她们和在社区外医院分娩的其他母亲一样，对社区医院提供的服务质量不满意。
因此，为了成功实施SPOU项目，韩国政府应努力提高社区医院提供的孕产妇服务质量，并改善社区医院的物质条件，如过时的医疗设备和设施。
