Rebhi Amanda M
Department of Communications, George Mason University, Fairfax, VA, USA.
Qual Res Med Healthc. 2025 Jan 22;8(3):12641. doi: 10.4081/qrmh.2024.12641. eCollection 2024 Nov 20.
This research undertakes a thematic analysis of discussion threads on social media forums to determine women's perceptions of quality of obstetric care under TRICARE Prime and TRICARE Select. Following an open coding process and thematic analysis, themes arose regarding obstetric care as experienced by active-duty women as well as female spouses of active-duty members. Themes surrounding active-duty perceptions of quality of obstetric care concerned proximity to care deferred deliveries, lack of care options, deficient on-base care, better civilian care experiences, and lamenting having less options than spouses. Spouses generated themes of positive connotation with TRICARE Select, including low costs, freedom of choice, and proximity to care and negative connotation with TRICARE Prime, such as difficulty getting care, process bureaucracy, and deficient care. Ample evidence pointed to a strong spouse preference for TRICARE Select over TRICARE Prime, but there was not enough evidence to indicate if active-duty women were pursuing out-of-pocket care to circumvent TRICARE Prime restrictions. Overall, women's discussions point to a need to improve the Military Health System and concerningly suggest active-duty women are confined to care within a system plagued with issues that impact obstetric care.
本研究对社交媒体论坛上的讨论线程进行了主题分析,以确定女性对“军人家属优先医疗计划”(TRICARE Prime)和“军人家属自选医疗计划”(TRICARE Select)下产科护理质量的看法。经过开放式编码过程和主题分析,出现了与现役女性以及现役军人配偶经历的产科护理相关的主题。围绕现役女性对产科护理质量看法的主题包括就医距离、分娩延期、护理选择不足、基地内护理欠缺、平民护理体验更好,以及感叹自己的选择比配偶少。配偶们提出了对“军人家属自选医疗计划”具有积极意义的主题,包括低成本、选择自由和就医距离近,以及对“军人家属优先医疗计划”具有消极意义的主题,如就医困难、流程繁琐和护理欠缺。大量证据表明配偶们强烈倾向于“军人家属自选医疗计划”而非“军人家属优先医疗计划”,但没有足够证据表明现役女性是否正在寻求自费医疗以规避“军人家属优先医疗计划”的限制。总体而言,女性的讨论表明需要改进军事医疗系统,令人担忧的是,这表明现役女性被限制在一个存在影响产科护理问题的系统内接受护理。