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优化农村社区产后护理:来自亚利桑那州妇女的见解及其对政策的启示。

Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy.

机构信息

Mel and Enid Zuckerman College of Public Health, University of Arizona, P.O. Box 245163, Tucson, AZ, 85724, USA.

R. Ken Colt College of Pharmacy, University of Arizona, Tucson, AZ, USA.

出版信息

Matern Child Health J. 2024 Jul;28(7):1148-1159. doi: 10.1007/s10995-023-03889-w. Epub 2024 Feb 17.

Abstract

OBJECTIVES

Optimal postpartum care promotes healthcare utilization and outcomes. This qualitative study investigated the experiences and perceived needs for postpartum care among women in rural communities in Arizona, United States.

METHODS

We conducted in-depth interviews with thirty childbearing women and analyzed the transcripts using reflexive thematic analysis to gauge their experiences, needs, and factors affecting postpartum healthcare utilization.

RESULTS

Experiences during childbirth and multiple structural factors, including transportation, childcare services, financial constraints, and social support, played crucial roles in postpartum care utilization for childbearing people in rural communities. Access to comprehensive health information and community-level support systems were perceived as critical for optimizing postpartum care and utilization.

CONCLUSIONS FOR PRACTICE

This study provides valuable insights for policymakers, healthcare providers, and community stakeholders in enhancing postpartum care services for individuals in rural communities in the United States.

摘要

目的

产后护理的优化可促进医疗保健的利用和结果。本定性研究调查了美国亚利桑那州农村社区妇女的产后护理体验和感知需求。

方法

我们对 30 名产妇进行了深入访谈,并使用反思性主题分析对转录本进行了分析,以评估她们的体验、需求以及影响产后医疗保健利用的因素。

结果

分娩期间的经历和多种结构性因素,包括交通、儿童保育服务、经济限制和社会支持,对农村社区产妇的产后护理利用起着至关重要的作用。获得全面的健康信息和社区层面的支持系统被认为是优化产后护理和利用的关键。

实践结论

本研究为政策制定者、医疗保健提供者和社区利益相关者提供了有价值的见解,有助于增强美国农村社区个人的产后护理服务。

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