Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA, USA.
Matern Child Health J. 2018 Jul;22(7):1085-1091. doi: 10.1007/s10995-018-2492-3.
Introduction To provide a qualitative perspective on the changes that occurred after newly placed OB/GYNs began working at district hospitals in Ashanti, Ghana. Methods Structured interviews of healthcare professionals were conducted at eight district hospitals located throughout the Ashanti district of Ghana, four with and four without a full-time OB/GYN on staff. Individuals interviewed include: medical superintendents, medical officers, district hospital administrators, OB/GYNs (where applicable), and nurse-midwives. Interviews were transcribed verbatim and content analysis was performed to identify common themes. Characteristics quotes were identified to illustrate principal interview themes. Quotes were verified in context by researchers for accuracy. Results Interviews with providers revealed four areas most impacted by an OB/GYN's leadership and expertise at district hospitals: patient referral patterns, obstetric protocol and training, facility management and organization, and hospital reputation. Discussion OB/GYNs are uniquely positioned to add clinical capacity and care quality to established maternal care teams at district hospitals-empowering district hospitals as reliable care centers throughout rural Ghana for women's health. Coordinated efforts between government, donors and OBGYN training institutions to provide complete obstetric teams is the next step to achieve the global goal of eliminating preventable maternal mortality by 2030.
介绍 为了从定性角度了解加纳阿散蒂地区的区医院新聘妇产科医生上岗后发生的变化。 方法 在加纳阿散蒂地区的八所区医院进行了医护人员的结构式访谈，其中四所医院有全职妇产科医生，四所没有。受访者包括：医疗主任、主治医生、区医院行政人员、妇产科医生（如适用）和助产妇。访谈内容逐字记录下来，并进行内容分析以确定共同主题。选择有代表性的引语来说明主要访谈主题。研究人员对引语进行了上下文核实，以确保准确性。 结果 对提供者的访谈揭示了妇产科医生的领导和专业知识对区医院的四个主要影响领域：患者转诊模式、产科协议和培训、设施管理和组织以及医院声誉。 讨论 妇产科医生在为区医院的现有产妇护理团队提供临床能力和护理质量方面具有独特的优势——使区医院成为加纳农村地区妇女健康的可靠护理中心。政府、捐助者和妇产科培训机构之间的协调努力，为提供完整的产科团队是实现到 2030 年消除可预防孕产妇死亡全球目标的下一步。
