The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women
The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women
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DOI：
10.1111/jmwh.12891
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发表时间：
2018-09-01
影响因子：
2.7
通讯作者：
Darney, Blair G.
中科院分区：
文献类型：
--
作者：
Heredia-Pi, Ileana B.;Fuentes-Rivera, Evelyn;Darney, Blair G.
团体产前护理是一种创新的保健模式，在这种模式下，产前护理的所有组成部分--临床、教育和支持--都是在团体的背景下进行的，保健专业人员是促进者。中心妊娠是研究最多的集体产前护理模式，目前在美国广泛实施。这种模式已被证明在改善美国的健康和行为结果方面是有效的，但关于在美国医疗保健系统以外的环境中适应集体产前护理的经验鲜为人知。本文描述了中心妊娠模型在墨西哥背景下的改编。我们描述了墨西哥的卫生保健背景和我们的适应过程，并强调了在为不同的人口和卫生系统调整中心怀孕模式的内容和方式时要考虑的关键因素。我们的发现与其他寻求在美国医疗保健系统以外的环境中实施集体产前护理的人相关。
Group antenatal care is an innovative model of health care in which all components of antenatal careclinical, educational, and supportivehappen in a group context with health care professionals as facilitators. CenteringPregnancy is the most studied model of group antenatal care, now widely implemented in the United States. This model has been shown to be effective in improving health and behavioral outcomes in the United States, but there is less known about the experience adapting group antenatal care in settings outside the US health care system. This article describes the adaptation of the CenteringPregnancy model to a Mexican context. We describe the Mexican health care context and our adaptation process and highlight key factors to consider when adapting the content and modality of the CenteringPregnancy model for diverse populations and health systems. Our findings are relevant to others seeking to implement group antenatal care in settings outside the US health care system.