Martel Nicholas, Tsang Tamara, Ramsden Vivian R, Irvine Jeffrey David Connor
Assistant Professor at Northern Medical Services in the Department of Academic Family Medicine at the University of Saskatchewan in La Ronge.
Assistant Professor in the Department of Academic Family Medicine at the University of Saskatchewan.
Can Fam Physician. 2025 Mar;71(3):185-191. doi: 10.46747/cfp.7103185.
To determine what factors individual physicians in a remote northern Saskatchewan community consider when advising patients on an obstetric delivery location.
Semistructured interviews.
La Ronge, a remote northern Saskatchewan community.
Eleven family physicians providing full-scope care in a remote medical clinic.
Each physician at the only medical clinic in the area was sent an email in February 2017 inviting them to be involved in the study. Interviews were conducted between February and April 2017 and were audiorecorded and manually transcribed. The transcribed interviews were returned to participants for their review and additional input. Saturation was reached after 9 interviews, with 2 further interviews being conducted after saturation for a total of 11 interviews. Inductive thematic analysis was undertaken following the interviews.
Patient choice was an important factor in the discussion about delivery location. Themes that evolved from physician consideration on delivery location included benefits of local delivery, local resources, selection of low-risk pregnancies, physician and nursing skills, and patient choice.
Family physicians should provide patients with all potential options for delivery location and support the decision made with the patient.
确定萨斯喀彻温省北部偏远社区的个体医生在为患者提供产科分娩地点建议时会考虑哪些因素。
半结构化访谈。
萨斯喀彻温省北部偏远社区拉罗恩格。
在一家偏远医疗诊所提供全面护理的11名家庭医生。
2017年2月向该地区唯一一家医疗诊所的每位医生发送电子邮件，邀请他们参与研究。访谈于2017年2月至4月进行，进行了录音并手动转录。转录后的访谈内容返还给参与者供其审核并提供更多意见。9次访谈后达到饱和，饱和后又进行了2次访谈，共11次访谈。访谈后进行归纳主题分析。
患者选择是分娩地点讨论中的一个重要因素。医生对分娩地点的考虑所产生的主题包括当地分娩的益处、当地资源、低风险妊娠的选择、医生和护士的技能以及患者选择。
家庭医生应向患者提供所有可能的分娩地点选择，并支持患者做出的决定。
