Adams Catina, Hooker Leesa, Taft Angela
Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Vic. 3086, Australia; and Corresponding author.
Judith Lumley Centre, Department of Rural Nursing and Midwifery, La Trobe Rural Health School, La Trobe University, Bendigo, Vic. 3552, Australia.
Aust J Prim Health. 2019 Jun;25:281-287. doi: 10.1071/PY18156.
The Maternal and Child Health (MCH) service in Victoria comprises a universal service, an enhanced program providing additional support for vulnerable families (EMCH) and a 24-h MCH telephone line. There is anecdotal evidence of variation in EMCH programs between Local Government Areas, and this study aims to explore the variation in EMCH programs to inform future EMCH policy and practice. An online survey was sent to MCH coordinators in Victoria in December 2016 (n = 79), with a response rate of 70% (55/79). Quantitative data have been analysed using descriptive statistics, with open-ended questions examined using content analysis. The data confirms that EMCH programs vary significantly across the state. Differences include a variation in referral and intake criteria, different models of service and modes of delivery, differences in EMCH nurse working conditions, issues with data collection and a lack of systematic clinical tools. Variation in the EMCH program is greatest between urban and rural services and between advantaged and disadvantaged urban councils. Lack of consistent service delivery and data collection impairs program evaluation, including outcome measurement and evidence of program effectiveness.
维多利亚州的母婴健康（MCH）服务包括一项普及服务、一项为弱势家庭提供额外支持的强化项目（EMCH）以及一条24小时的MCH热线电话。有传闻称地方政府辖区之间的EMCH项目存在差异，本研究旨在探究EMCH项目的差异，为未来的EMCH政策和实践提供参考。2016年12月，向维多利亚州的MCH协调员发送了一份在线调查问卷（n = 79），回复率为70%（55/79）。定量数据采用描述性统计进行分析，开放式问题采用内容分析法进行研究。数据证实，EMCH项目在全州范围内存在显著差异。差异包括转诊和收治标准的不同、服务模式和提供方式的差异、EMCH护士工作条件的差异、数据收集问题以及缺乏系统的临床工具。EMCH项目的差异在城乡服务之间以及优势和劣势城市议会之间最为明显。缺乏一致的服务提供和数据收集会影响项目评估，包括结果测量和项目有效性的证据。
