产前保健综合服务的使用:以津巴布韦马布武库综合诊所为例。

IF 1.7 Q4 PRIMARY HEALTH CARE
Gamuchirai P Gwaza, Danai T Zhou, Annette Plüddemann, Carl Heneghan
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引用次数: 0

摘要

背景:诊断服务的整合为改善低收入和中等收入国家(LMICs)的健康结果提供了一个关键机会,每年可能避免多达100万人过早死亡。产前保健为综合诊断多种疾病提供了一个重要平台。目的:本研究探讨了在津巴布韦初级保健设施的医疗保健提供者和孕妇使用综合诊断服务的经验。环境:在津巴布韦哈拉雷的Mabvuku综合诊所进行了定性案例研究。方法:采用目的抽样法,对14名医护人员和22名孕妇进行访谈。使用NVivo软件对观察结果和半结构化访谈进行记录、转录和分析。应用主题分析来确定与获取、患者与提供者互动和系统障碍相关的关键主题。结果:根据受访者的报告,资源、医疗设备和人员有限等挑战阻碍了整合诊断服务的努力。这些妇女强烈倾向于综合诊断,即使这意味着要忍受很长的等待时间,并且重视在一次就诊中获得所有必要服务的便利性。该研究强调了“免费”医疗保健的潜在社会经济障碍,并强调了解决系统性效率低下问题的重要性。结论:从本研究中获得的见解是可转移的,有助于理解孕产妇保健背景下的综合诊断服务。贡献:它们为改善类似环境中的服务提供和健康结果提供了实际建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Use of integrated services in antenatal care: A case study of Mabvuku Polyclinic, Zimbabwe.

Use of integrated services in antenatal care: A case study of Mabvuku Polyclinic, Zimbabwe.

Use of integrated services in antenatal care: A case study of Mabvuku Polyclinic, Zimbabwe.

Background:  The integration of diagnostic services presents a critical opportunity to improve health outcomes in low- and middle-income countries (LMICs), potentially averting up to 1 million premature deaths annually. Antenatal care provides a critical platform for diagnosing multiple diseases in an integrated manner.

Aim:  This study explored the experiences of healthcare providers and pregnant women using integrated diagnostic services at a primary care facility in Zimbabwe.

Setting:  A qualitative case study was conducted at Mabvuku Polyclinic in Harare, Zimbabwe.

Methods:  Using purposive sampling, 14 healthcare workers and 22 pregnant women participated in interviews. Observations and semi-structured interviews were recorded, transcribed and analysed using NVivo software. Thematic analysis was applied to identify key themes related to access, patient-provider interactions and systemic barriers.

Results:  According to the interviewees' reports, challenges such as limited resources, medical equipment and staff hinder efforts to integrate diagnostic services. The women strongly preferred integrated diagnosis, even if it meant enduring long waiting times, and valued the convenience of receiving all necessary services in a single visit. The study highlighted the hidden socio-economic barriers to 'free' healthcare and underscored the importance of addressing systemic inefficiencies.

Conclusion:  The insights gained from this study are transferable and contribute to the understanding of integrated diagnostic services in maternal healthcare contexts.Contribution: They offer practical recommendations for improving service delivery and health outcomes in similar settings.

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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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