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[堕胎服务中以患者为中心的维度——CarePreg研究的选定结果]

[Dimensions of person-centeredness in abortion services-selected results of the CarePreg study].

作者信息

Zill Jördis, Lindig Anja

机构信息

Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistraße 52, 20246, Hamburg, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025 Jan;68(1):19-27. doi: 10.1007/s00103-024-03990-7. Epub 2024 Dec 10.

Abstract

Person-centered care is a fundamental principle of healthcare in Germany. The concept focuses on the preferences, needs, and values of individuals in the healthcare system. Studies show that unintentionally pregnant women seeking to terminate their pregnancy may encounter legal regulations, stigmatization, and ethical and moral concerns from healthcare providers. In Germany, the implementation of person-centered care in the care of unintentionally pregnant women has been scarcely researched. The goals of the CarePreg study (running from November 2020 to July 2024) were to evaluate person-centered care in psychosocial and medical care (1) from the perspective of healthcare providers as well as (2) from the perspective of women experiencing an unintended pregnancy and abortion, and (3) to derive recommendations for the current care situation. A mixed-methods approach was chosen for the study.This article presents the methodology of the CarePreg study and reports on the findings from two workshops involving 18 experts as part of the first study phase. Participants in the workshops were professionals from psychosocial and medical services for individuals with unintended pregnancies. They considered person-centered care highly relevant to abortion services, emphasizing dimensions such as "access to care," "personalized information," and "equal collaboration and involvement in decision-making." Barriers to person-centered care discussed included the stigmatization of abortion and those providing related services as well as the current legal framework.

摘要

以患者为中心的护理是德国医疗保健的一项基本原则。这一理念关注医疗系统中个人的偏好、需求和价值观。研究表明,寻求终止妊娠的意外怀孕女性可能会遇到法律法规、污名化以及医疗服务提供者的伦理和道德问题。在德国,针对意外怀孕女性护理中以患者为中心的护理实施情况鲜有研究。CarePreg研究(从2020年11月持续至2024年7月)的目标是:(1) 从医疗服务提供者的角度以及(2) 从意外怀孕和堕胎女性的角度评估心理社会和医疗护理中以患者为中心的护理情况,以及(3) 针对当前护理状况得出建议。该研究采用了混合方法。本文介绍了CarePreg研究的方法,并报告了作为第一研究阶段一部分的两个研讨会的结果,这两个研讨会有18位专家参与。研讨会上的参与者是为意外怀孕者提供心理社会和医疗服务的专业人员。他们认为以患者为中心的护理与堕胎服务高度相关,强调了“获得护理服务”“个性化信息”以及“平等协作和参与决策”等方面。所讨论的以患者为中心的护理障碍包括对堕胎及提供相关服务者的污名化以及当前的法律框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c8/11732932/8dae43b606eb/103_2024_3990_Fig1_HTML.jpg

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