McKnight A
Ulster Med J. 1987 Oct;56(2):116-23.
A questionnaire study of mothers' views of the antenatal care provided in Belfast showed general satisfaction. Retrospective examination of their charts however showed in some cases that insufficient attention was paid to the medical and obstetric history in the selection of type of care made by the women and their doctors. Some women with high risk factors were booked for shared care and some patients at low risk were booked for total hospital care. The reasons for this are unclear.The mothers felt that continuity of care and communication at the health centre were better than at the hospital. Analysis of the number of hospital attendances showed that shared care patients appeared to be making an excessive number of visits to hospital. Many total hospital care patients also admitted that they were attending their general practitioners. There appeared to be marked duplication of effort as a result of poor communication between patient, general practitioner and hospital.Alternative ideas for care are suggested - a more integrated system for sharing antenatal care, and the development of general practitioner units within the specialist obstetric hospital.
一项关于贝尔法斯特母亲对产前护理看法的问卷调查显示总体满意度较高。然而，对她们病历的回顾性检查表明，在某些情况下，女性及其医生在选择护理类型时对医疗和产科病史的关注不足。一些有高危因素的女性被安排接受共同护理，而一些低风险患者则被安排接受全面医院护理。原因尚不清楚。母亲们认为健康中心的护理连续性和沟通比医院更好。对住院次数的分析表明，共同护理患者似乎去医院的次数过多。许多全面医院护理患者也承认他们在看全科医生。由于患者、全科医生和医院之间沟通不畅，似乎存在明显的工作重复。有人提出了替代护理方案——一个更综合的产前护理共享系统，以及在专科产科医院内发展全科医生单位。
