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一项关于卫生专业人员对产前护理提供与组织方面可能变化的看法的调查。

A survey of health professionals' views on possible changes in the provision and organisation of antenatal care.

作者信息

Sikorski J, Clement S, Wilson J, Das S, Smeeton N

出版信息

Midwifery. 1995 Jun;11(2):61-8. doi: 10.1016/0266-6138(95)90068-3.

DOI:10.1016/0266-6138(95)90068-3
PMID:7616860
Abstract

OBJECTIVE

To ascertain the views of midwives, obstetricians and general practitioners (GPs) on possible changes in the provision of antenatal care, and to describe any differences in attitude between the three professional groups.

DESIGN

survey using postal questionnaire.

SETTING

Three hospitals in south-east London.

PARTICIPANTS

The questionnaire was sent to 251 midwives, 50 obstetricians, and 438 GPs. The overall response rate was 70%.

MEASUREMENTS

A questionnaire asking whether the health professionals would like to see, were undecided, or would not like to see, 12 possible changes in the provision of antenatal care.

FINDINGS

The changes that most health professionals wanted to see were individualised visit schedules and an increase in continuity of care-giver. There were significant differences between the three professional groups for 11 of the 12 possible changes, with midwives being the group most keen, and GPs tending to be the least keen, to see change.

KEY CONCLUSIONS

It is important to recognise and address the different views of midwives, obstetricians and general practitioners at this time when major changes in the organisation of antenatal care are being planned or implemented.

IMPLICATIONS FOR PRACTICE

Differences in attitudes between health professionals need to be addressed when planning changes in the provision of antenatal care.

摘要

目的

确定助产士、产科医生和全科医生(GPs)对于产前护理提供方式可能发生的变化的看法,并描述这三个专业群体之间态度上的差异。

设计

采用邮寄问卷进行调查。

地点

伦敦东南部的三家医院。

参与者

问卷被发送给251名助产士、50名产科医生和438名全科医生。总体回复率为70%。

测量

一份问卷询问这些医疗专业人员对于产前护理提供方式的12种可能变化是希望看到、不确定还是不希望看到。

结果

大多数医疗专业人员希望看到的变化是个性化的就诊时间表以及护理人员连续性的增加。在12种可能的变化中,有11种在这三个专业群体之间存在显著差异,助产士是最希望看到变化的群体,而全科医生往往是最不希望看到变化的群体。

主要结论

在计划或实施产前护理组织的重大变革之际,认识并解决助产士、产科医生和全科医生的不同观点很重要。

对实践的启示

在规划产前护理提供方式的变革时,需要解决医疗专业人员之间态度上的差异。

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