Department of Obstetrics and Gynecology, University of Michigan, 1500 East Medical Center Dr., Ann Arbor, MI 48109, USA; University of Michigan Institute for Healthcare Policy and Innovation, 2800 Plymouth Road, Ann Arbor, MI 48109, USA.
Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F1020, Houston, TX 77030, USA.
Obstet Gynecol Clin North Am. 2023 Sep;50(3):439-455. doi: 10.1016/j.ogc.2023.03.002. Epub 2023 May 3.
The one-size-fits-all model of prenatal care has remained largely unchanged since 1930. New models of prenatal care delivery can improve its efficacy, equity, and experience through tailoring prenatal care to meet pregnant people's medical and social needs. Key aspects of recently developed prenatal care models include visit schedules based on needed services, telemedicine, home measurement of routine pregnancy parameters, and interventions that address social and structural drivers of health. Several barriers that affect the individual, provider, health system, and policy levels must be addressed to facilitate implementation of new prenatal care delivery models.
自 1930 年以来,产前护理的一刀切模式基本保持不变。通过定制产前护理以满足孕妇的医疗和社会需求,可以改善其效果、公平性和体验。最近开发的产前护理模式的关键方面包括根据所需服务制定的就诊时间表、远程医疗、常规妊娠参数的家庭测量以及解决健康的社会和结构性驱动因素的干预措施。必须解决影响个人、提供者、卫生系统和政策层面的几个障碍,以促进新的产前护理交付模式的实施。