Faundes A, Rosenfield A, Pinotti J A
Department of Obstetrics and Gynecology, Faculty of Medicine, University of the State of Campinas, Brazil.
Int J Gynaecol Obstet. 1988 Jun;26(3):349-54. doi: 10.1016/0020-7292(88)90328-1.
It is suggested that improved maternity care in the developing world depends primarily on the increased provision of cost-effective, basic, easily accessible maternity care services. Expensive new technologies should be judged by their effectiveness, safety, technical feasibility, cost (including operating and maintenance expenses) and local need. After identifying the major causes of morbidity and mortality, priority should be given to interventions applicable at the local level and which do not require highly or specially trained educated personnel.
有人认为,发展中世界改善孕产妇护理主要依赖于增加提供具有成本效益、基本且易于获得的孕产妇护理服务。昂贵的新技术应根据其有效性、安全性、技术可行性、成本(包括运营和维护费用)以及当地需求来评判。在确定发病和死亡的主要原因之后,应优先考虑适用于当地且不需要高学历或经过专门培训人员的干预措施。