军队卫生系统现役女军人围产期护理生活体验的定性分析。

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues Pub Date : 2025-09-01 DOI:10.1016/j.whi.2025.07.001

Caitlin Russell PhD, MBE, MSHP, WHNP-BC , Emily Balog PhD, OTR/L, FNAP , Anne Teitelman PhD, FNP-BC, FAANP, FAAN , Rosemary Polomano PhD, RN, FAAN

{"title":"军队卫生系统现役女军人围产期护理生活体验的定性分析。","authors":"Caitlin Russell PhD, MBE, MSHP, WHNP-BC , Emily Balog PhD, OTR/L, FNAP , Anne Teitelman PhD, FNP-BC, FAANP, FAAN , Rosemary Polomano PhD, RN, FAAN","doi":"10.1016/j.whi.2025.07.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>We explored the lived experiences of active-duty servicewomen (ADSW) accessing and receiving care during the perinatal period (from discovery of pregnancy to 1 year postpartum) within the Military Health System.</div></div><div><h3>Study Design</h3><div>Using qualitative methods, we conducted semi-structured interviews between September 2022 and February 2023 with 23 ADSW participants who were pregnant or within their first year postpartum. Data were analyzed using inductive coding and thematic analysis techniques.</div></div><div><h3>Results</h3><div>Participants reported bureaucratic hurdles and long wait times for accessing care, too little choice in providers, and inadequate coordination between civilian and military care providers. Those who experienced perinatal complications perceived that the military health system did not adequately address their concerns. Some participants described disjointed and depersonalized perinatal care, whereas others reported positive experiences with their providers.</div></div><div><h3>Conclusions</h3><div>Opportunities exist for the Military Health System to improve the perinatal care experience by increasing access to perinatal care, providing more autonomy to ADSW in choosing providers and birth settings, and developing policies and procedures to improve inter-specialty communication.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 5","pages":"Pages 368-375"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Qualitative Analysis of the Lived Experiences of Active-Duty Servicewomen Receiving Perinatal Care Within the Military Health System\",\"authors\":\"Caitlin Russell PhD, MBE, MSHP, WHNP-BC , Emily Balog PhD, OTR/L, FNAP , Anne Teitelman PhD, FNP-BC, FAANP, FAAN , Rosemary Polomano PhD, RN, FAAN\",\"doi\":\"10.1016/j.whi.2025.07.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>We explored the lived experiences of active-duty servicewomen (ADSW) accessing and receiving care during the perinatal period (from discovery of pregnancy to 1 year postpartum) within the Military Health System.</div></div><div><h3>Study Design</h3><div>Using qualitative methods, we conducted semi-structured interviews between September 2022 and February 2023 with 23 ADSW participants who were pregnant or within their first year postpartum. Data were analyzed using inductive coding and thematic analysis techniques.</div></div><div><h3>Results</h3><div>Participants reported bureaucratic hurdles and long wait times for accessing care, too little choice in providers, and inadequate coordination between civilian and military care providers. Those who experienced perinatal complications perceived that the military health system did not adequately address their concerns. Some participants described disjointed and depersonalized perinatal care, whereas others reported positive experiences with their providers.</div></div><div><h3>Conclusions</h3><div>Opportunities exist for the Military Health System to improve the perinatal care experience by increasing access to perinatal care, providing more autonomy to ADSW in choosing providers and birth settings, and developing policies and procedures to improve inter-specialty communication.</div></div>\",\"PeriodicalId\":48039,\"journal\":{\"name\":\"Womens Health Issues\",\"volume\":\"35 5\",\"pages\":\"Pages 368-375\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Womens Health Issues\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1049386725000830\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Womens Health Issues","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1049386725000830","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

目的：探讨现役妇女（ADSW）在围产期（从发现怀孕到产后1年）在军队卫生系统内获得和接受护理的生活经历。研究设计：采用定性方法，我们在2022年9月至2023年2月期间对23名怀孕或产后一年内的ADSW参与者进行了半结构化访谈。数据分析采用归纳编码和专题分析技术。结果：参与者报告了官僚主义障碍和获得护理的漫长等待时间，提供者的选择太少，民用和军事护理提供者之间的协调不足。那些经历过围产期并发症的人认为军队卫生系统没有充分解决他们的问题。一些参与者描述了脱节和去个性化的围产期护理，而其他人则报告了与他们的提供者的积极经历。结论：军队卫生系统存在改善围产期护理体验的机会，可以通过增加围产期护理的可及性，在选择提供者和分娩环境方面给予ADSW更多的自主权，并制定政策和程序来改善专科间的沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A Qualitative Analysis of the Lived Experiences of Active-Duty Servicewomen Receiving Perinatal Care Within the Military Health System

Objectives

We explored the lived experiences of active-duty servicewomen (ADSW) accessing and receiving care during the perinatal period (from discovery of pregnancy to 1 year postpartum) within the Military Health System.

Study Design

Using qualitative methods, we conducted semi-structured interviews between September 2022 and February 2023 with 23 ADSW participants who were pregnant or within their first year postpartum. Data were analyzed using inductive coding and thematic analysis techniques.

Results

Participants reported bureaucratic hurdles and long wait times for accessing care, too little choice in providers, and inadequate coordination between civilian and military care providers. Those who experienced perinatal complications perceived that the military health system did not adequately address their concerns. Some participants described disjointed and depersonalized perinatal care, whereas others reported positive experiences with their providers.

Conclusions

Opportunities exist for the Military Health System to improve the perinatal care experience by increasing access to perinatal care, providing more autonomy to ADSW in choosing providers and birth settings, and developing policies and procedures to improve inter-specialty communication.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Womens Health Issues Multiple-

CiteScore

4.50

自引率

6.20%

发文量

审稿时长

32 days

期刊介绍： Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.