Brygger Venø Louise, Pedersen Line Bjørnskov, Søndergaard Jens, Ertmann Ruth Kirk, Jarbøl Dorte Ejg
Department of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Department of Public Health, DaCHE - Danish Centre for Health Economics, University of Denmark, Odense, Denmark.
Scand J Prim Health Care. 2025 Jun;43(2):292-302. doi: 10.1080/02813432.2024.2432371. Epub 2024 Dec 8.
Pregnancy vulnerability contributes to poor perinatal mental health. Proper cross-sectoral collaboration may mitigate perinatal mental health problems. General practitioners (GPs) often face barriers when assessing pregnancy vulnerability, but little is known about GPs' perceived barriers to the cross-sectoral collaboration on vulnerable pregnant women.
To explore GPs' barriers to cross-sectoral collaboration on pregnant women with vulnerabilities, and how barriers are associated with the organization of antenatal care (ANC) and general practice characteristics.
DESIGN, SETTING AND SUBJECTS: A cross-sectional questionnaire study among Danish GPs ( = 3465).
Descriptive statistics according to the Theoretical Domains Framework describes the barriers to collaboration. Analytical statistics with ordered logistic regression models demonstrate associations between selected barriers (the main outcome measures) and organization of ANC, GP and practice, characteristics.
A total of 760 GPs (22%) participated. Perceived GP barriers to collaboration were lacking knowledge of ANC levels relevant to vulnerable pregnant women, insufficient information on vulnerability indicators from collaborating parties, heavy workload and insufficient remuneration for collaborative meetings. Being young were associated with insufficient GP knowledge of ANC levels. Old age was associated with less likelihood of experiencing heavy workload as a barrier.
Barriers to collaboration on vulnerable pregnant women were associated with some GP-organizational characteristics including low experience in collaborating with partners in ANC, and GP characteristics, such as age. Reducing general practice workload, e.g. by reorganizing priority areas, releasing more time to vulnerable patients, and improving cross-sectoral information sharing on vulnerability might improve collaboration on vulnerable pregnant women.
孕期易感性会导致围产期心理健康状况不佳。适当的跨部门合作可能会减轻围产期心理健康问题。全科医生（GPs）在评估孕期易感性时常常面临障碍，但对于全科医生在针对弱势孕妇的跨部门合作中所感知到的障碍却知之甚少。
探讨全科医生在针对弱势孕妇的跨部门合作中所面临的障碍，以及这些障碍如何与产前护理（ANC）的组织和全科医疗特征相关联。
设计、设置和研究对象：对丹麦全科医生（n = 3465）进行的一项横断面问卷调查研究。
根据理论领域框架进行的描述性统计描述了合作障碍。使用有序逻辑回归模型的分析性统计显示了选定障碍（主要观察指标）与产前护理组织、全科医生及诊所特征之间的关联。
共有760名全科医生（22%）参与。全科医生所感知到的合作障碍包括缺乏与弱势孕妇相关的产前护理水平知识、合作方提供的脆弱性指标信息不足、工作量大以及合作会议的报酬不足。年轻与全科医生对产前护理水平的知识不足相关。年长与将工作量大视为障碍的可能性较小相关。
针对弱势孕妇的合作障碍与一些全科医生组织特征相关，包括在与产前护理合作伙伴合作方面经验不足，以及全科医生特征，如年龄。减少全科医疗工作量，例如通过重新安排优先领域、为弱势患者腾出更多时间，以及改善关于脆弱性的跨部门信息共享，可能会改善针对弱势孕妇的合作。
