Conceptual bases and methodology for the evaluation of women's and providers' perception of the quality of antenatal care in the WHO Antenatal Care Randomised Controlled Trial
Conceptual bases and methodology for the evaluation of women's and providers' perception of the quality of antenatal care in the WHO Antenatal Care Randomised Controlled Trial
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DOI：
10.1046/j.1365-3016.1998.00009.x
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发表时间：
1998-10-01
影响因子：
2.8
通讯作者：
Orozco, E
中科院分区：
文献类型：
--
作者：
Langer, A;Nigenda, G;Orozco, E
在本文中，我们描述了用于评估妇女和提供者对产前护理质量的看法的概念基础和方法，作为四个发展中国家大型随机试验的一部分。通过应用定性和定量方法获得了资料。焦点小组讨论和深入访谈有助于深入了解提供护理的文化环境、使用者和提供者的期望以及他们对质量的概念。基于这些发现，我们制定了两份标准化问卷，一份针对孕妇的代表性样本（n = 1600），另一份针对所有票价提供者。在本文中，我们提出了焦点小组讨论的一些结果，并与一个国家的妇女进行了深入访谈，作为我们获得的信息的一个例子。妇女们表达了她们对就诊次数减少、提供者类型、她们在临床接触中获得的信息以及与保健专业人员的人际关系等问题的看法。定性信息，连同我们从调查中获得的数据，将强调如果要在常规基础上引入新的护理模式，必须考虑的方面。
In this paper, we describe the conceptual bases and methodology used to assess women's and providers' perception of the quality of antenatal care, as part of a large randomised trial in four developing countries. Information has been obtained by applying both qualitative and quantitative methodologies. The focus group discussions and in-depth interviews have contributed useful insights into the cultural milieu in which care is provided, users' and providers' expectations, and their concept of quality. Based on these findings, we developed two standardised questionnaires, one being administered to a representative sample of pregnant women (n = 1600) and the other for all fare providers. In this paper we present some of the findings of the focus group discussions and in-depth interviews with women in one country as an example of the kind of information we have obtained. Women expressed their point of view concerning a reduced number of visits, type of provider, information that they get during clinical encounters and interpersonal relations with health professionals. The qualitative information, together with the data we obtain from the surveys, will highlight the aspects that will have to be considered if the new model of care is to be introduced on a routine basis.