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加纳一家地区级医院医护人员对堕胎后护理的响应情况:一项基于患者自我报告的定性研究

Responsiveness of Health Professionals to Postabortion Care at a Regional Level Hospital in Ghana: A Qualitative Study of Patients' Self-Reports.

作者信息

Adde Kenneth Setorwu, Darteh Eugene Kofuor Maafo, Kumi-Kyereme Akwasi, Amu Hubert

机构信息

Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.

Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.

出版信息

Int J Reprod Med. 2018 May 6;2018:3861760. doi: 10.1155/2018/3861760. eCollection 2018.

Abstract

BACKGROUND

The responsiveness of health professionals to patients in the provision of abortion services is essential to influencing patients' perceptions and expectations regarding the quality of medical care to be received and their general satisfaction. This, in turn, determines if patients will revisit a particular health facility to access abortion services. In this study, we examine the responsiveness of health professionals in providing postabortion care at a regional level health facility in Ghana.

METHODS

Qualitative data collected from 20 female patients who assessed abortion services at a regional level health facility in Ghana were used. The sample was achieved through saturation while a systematic qualitative orientated text analysis was adopted in analysing the data.

RESULTS

Health professionals were responsive to postabortion care at the facility. Most women who sought postabortion care at the facility were referred from other health facilities which could not handle such cases. Other reasons include satisfaction with services received on previous visits to the hospital. We also realized, however, that postabortion services were not covered by the National Health Insurance Scheme.

CONCLUSIONS

All hospitals across the country should be equipped with the basic equipment and personnel to conduct and manage abortions. This would reduce not only referrals but also possible maternal deaths. Abortion services should also be added to the services covered by the country's National Health Insurance Scheme.

摘要

背景

医疗专业人员在提供堕胎服务时对患者的响应能力对于影响患者对所接受医疗服务质量的认知和期望以及他们的总体满意度至关重要。这反过来又决定了患者是否会再次前往特定的医疗机构获取堕胎服务。在本研究中,我们考察了加纳一家地区级医疗机构的医疗专业人员在提供堕胎后护理方面的响应能力。

方法

使用从20名在加纳一家地区级医疗机构评估堕胎服务的女性患者收集的定性数据。样本通过饱和抽样获得,同时采用系统的定性文本分析方法对数据进行分析。

结果

医疗专业人员对该机构的堕胎后护理做出了响应。大多数在该机构寻求堕胎后护理的女性是从其他无法处理此类病例的医疗机构转诊而来的。其他原因包括对之前在医院接受的服务感到满意。然而,我们也意识到,堕胎后服务不在国家健康保险计划范围内。

结论

全国所有医院都应配备进行和管理堕胎手术的基本设备和人员。这不仅会减少转诊,还能减少可能的孕产妇死亡。堕胎服务也应纳入该国国家健康保险计划所涵盖的服务范围。

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本文引用的文献

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