Comparing women's assessment of midwifery and medical care in Quebec, Canada
Comparing women's assessment of midwifery and medical care in Quebec, Canada
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DOI：
10.1016/s1526-9523(01)00093-9
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发表时间：
2001-03-01
影响因子：
2.7
通讯作者：
Gagnon, C
中科院分区：
文献类型：
--
作者：
De Koninck, M;Blais, R;Gagnon, C
1990年，加拿大魁北克省通过了一项法律，授权在助产合法化之前通过试点项目对助产做法进行评价。根据法律规定，这项评估的一个主要目标是记录妇女对产妇护理的评估，特别是对护理的人性化和连续性的评估。出生后2至3个月，933名助产士客户和1 000名医生客户，在几个特征上匹配，回答了邮寄的问卷（回答率分别为93%和76%）。结果表明，两组妇女对她们所得到的护理普遍感到满意，尽管接受助产护理的妇女在调查的每一个问题上都被评估为更积极。客观的措施支持的印象，也证实了通过定性数据分析：助产客户有更多的产前检查和更长的时间，他们的护理被认为是更加个性化。更多的助产士客户用母乳喂养婴儿。然而，对这些结果的解释必须考虑到这两组人在健康和保健方面有不同的个人观点和价值观。这些发现对于评估妇女对医疗保健服务的需求、期望和满意度具有启发性，应纳入魁北克和其他地区未来产妇护理（包括助产服务）的发展中。(C)2001年由美国护士助产士学院。
In 1990, the province of Quebec, Canada, adopted a law that authorized the evaluation of the practice of midwifery through pilot projects before its legalization. A key objective of this evaluation, as defined by the law, was the documentation of women's assessment of maternity care, especially with regard to humanization and continuity of care. Two to 3 months after birth, 933 midwifery clients and 1,000 physicians' clients, matched on several characteristics, responded to a mailed questionnaire (response rates were 93% and 76% respectively). Results showed that women from both groups were generally satisfied with the care they received, although women who received midwifery care were assessed as more positive on every issue surveyed. Objective measures supported impressions that were also confirmed through qualitative data analysis: midwifery clients had a greater number of and longer prenatal visits, their care was perceived to be more personalized. and a greater number of midwives' clients breastfed their infants. However, the interpretation of these results must take into account that the two groups had different personal er;pec:at ions and values with regard to health and health care. These findings are enlightening in evaluating women's needs, expectations, and satisfaction with health care services and should be included in future development of maternity care, including midwifery services, in Quebec and other locations. (C) 2001 by the American College of Nurse-Midwives.