Experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia: A five-cohort cross-sectional comparison.
Experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia: A five-cohort cross-sectional comparison.
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DOI：
10.1371/journal.pone.0248488
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Sweet L
中科院分区：
文献类型：
--
作者：
Bradfield Z;Wynter K;Hauck Y;Vasilevski V;Kuliukas L;Wilson AN;Szabo RA;Homer CSE;Sweet L
全球COVID-19大流行从根本上改变了世界上许多国家的卫生保健提供方式。关于那些接受或提供产妇护理的人的经验的证据对于指导实践度过这一充满挑战的时期是重要的。在澳大利亚进行了一项横断面研究。纳入了五个关键利益攸关方队列，以探索和比较在COVID-19大流行期间接受或提供护理的人的经历。通过社交媒体招募了从2020年3月起在澳大利亚接受或提供产科护理的妇女、她们的伴侣、助产士、医生和助产学学生，并邀请他们参加2020年5月13日至6月24日发布的在线调查；我们共收到3701份填妥的回应。虽然与COVID-19相关的焦虑在所有五个队列中都很高，但在大多数调查项目中，每个队列的回答之间存在统计学上的显著差异。女性更有可能表示对自己和家人与COVID-19相关的健康和安全的担忧，而助产士、医生和助产学学生更有可能担心通过在卫生机构工作而接触COVID-19的职业风险，而不是通过在这些环境中接受护理的人。助产学学生和女性的伴侣更有可能回应说，由于提供护理方式的变化，他们感到孤立。尽管担心收到的护理或提供的护理不符合预期，但大多数受访者对提供的护理质量感到满意，尽管助产士和助产学学生不太可能同意。本文对澳大利亚在新冠肺炎大流行期间接受和提供产科护理的经验进行了独特的探索和比较。调查结果对于支持进一步的服务更改和未来的服务重新设计非常有用。提供的新证据提供了对主要利益攸关方在卫生服务快速变化方面的经验的独特见解。
The global COVID-19 pandemic has radically changed the way health care is delivered in many countries around the world. Evidence on the experience of those receiving or providing maternity care is important to guide practice through this challenging time. A cross-sectional study was conducted in Australia. Five key stakeholder cohorts were included to explore and compare the experiences of those receiving or providing care during the COVID-19 pandemic. Women, their partners, midwives, medical practitioners and midwifery students who had received or provided maternity care from March 2020 onwards in Australia were recruited via social media and invited to participate in an online survey released between 13th May and 24th June 2020; a total of 3701 completed responses were received. While anxiety related to COVID-19 was high among all five cohorts, there were statistically significant differences between the responses from each cohort for most survey items. Women were more likely to indicate concern about their own and family’s health and safety in relation to COVID-19 whereas midwives, doctors and midwifery students were more likely to be concerned about occupational exposure to COVID-19 through working in a health setting than those receiving care through attending these environments. Midwifery students and women’s partners were more likely to respond that they felt isolated because of the changes to the way care was provided. Despite concerns about care received or provided not meeting expectations, most respondents were satisfied with the quality of care provided, although midwives and midwifery students were less likely to agree. This paper provides a unique exploration and comparison of experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia. Findings are useful to support further service changes and future service redesign. New evidence provided offers unique insight into key stakeholders’ experiences of the rapid changes to health services.
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DOI：
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发表时间：
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影响因子：
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