怀孕后初级保健调查:患者偏好、健康问题和预期障碍。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2024-08-01 Epub Date: 2024-06-15 DOI:10.1007/s10995-024-03958-8
Mara E Murray Horwitz, G Saradhja Brédy, Jeffrey Schemm, Tracy A Battaglia, Christina D Yarrington, Lois McCloskey
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引用次数: 0

摘要

尽管建议在怀孕后进行持续护理,但许多人在产后第一年内并没有去看初级保健医生,从而错过了让育龄人群参与初级保健的关键窗口期。我们在一家大型城市安全网医院开展了一项匿名、横断面、三种语言的调查,以评估产后人群的偏好、健康问题以及在怀孕后一年内接受初级保健的预期障碍。虽然 90% 的受访者倾向于在一年内就诊,但大多数人(包括那些复杂妊娠的受访者)并不记得他们的孕期保健团队曾向他们推荐过初级保健服务。受访者报告了各种可接受初级保健的健康问题,以及许多接受保健的社会和后勤障碍。如果假设可以使用自我监测工具,受访者对虚拟医疗的偏好会增加,这表明虚拟就诊可以改善初级保健的可及性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Primary Care After Pregnancy Survey: Patient Preferences, Health Concerns, and Anticipated Barriers.

Primary Care After Pregnancy Survey: Patient Preferences, Health Concerns, and Anticipated Barriers.

Despite recommendations for ongoing care after pregnancy, many individuals do not see a primary care clinician within the first postpartum year, missing a critical window to engage reproductive-age individuals in primary care. We administered an anonymous, cross-sectional, trilingual survey at a large urban safety-net hospital to assess postpartum individuals' preferences, health concerns, and anticipated barriers to primary care during the year after pregnancy. While 90% of respondents preferred a visit within one year, most individuals - including those with complicated pregnancies - did not recall a primary care recommendation from their pregnancy care team. Respondents reported a variety of primary care-amenable health concerns, and many social and logistical barriers to care. Preference for virtual care increased if self-monitoring tools were hypothetically available, indicating virtual visits may improve primary care access.

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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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