What determines quality in maternity care? Comparing the perceptions of childbearing women and midwives
What determines quality in maternity care? Comparing the perceptions of childbearing women and midwives
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DOI：
10.1046/j.1523-536x.1998.00085.x
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发表时间：
1998-06-01
影响因子：
2.5
通讯作者：
Proctor, S
中科院分区：
文献类型：
--
作者：
Proctor, S
背景资料：在目前的气候消费者导向的医疗保健服务，一个明确的需要已经出现，以了解消费者的关注程度之间的初级卫生保健专业人员。很少有研究将医护人员的信念与患者的信念进行比较。这项研究旨在确定和比较妇女和助产士的看法，妇女的信念是什么构成质量的孕产妇服务。研究方法：焦点小组进行了从1994年7月至1997年6月，38名孕妇和产后妇女，47名助产士谁是总部设在两个大的产科单位在约克郡，英格兰。分析数据的透明度以确定广泛的主题。结果如下：助产士和妇女之间的相似之处包括对双方之间关系的重要性的信念，工作人员的期望属性和护理环境。关键的差异包括低估产前和产后信息的重要性，在劳动过程中的连续性的重要性，需要中央和信心，在调整产妇的角色，并参与妇女的合作伙伴在提供护理。结论：产妇护理工作人员了解妇女的关切，对于按照现行政策建议发展以妇女为中心的服务十分重要，并对风险管理和提高服务提供者和体验者的服务质量产生影响。
Background: In the current climate of consumer orientation in health care services, a clear need has emerged to understand the extent of consumer focus among primary health care professionals. Few studies have compared the beliefs of health care staff with those of patients. This study sought to identify and compare the perceptions of women and midwives concerning women's beliefs about what constitutes quality in maternity services. Methods: Focus groups were conducted from July 1994 to June 1997 with 38 pregnant and postnatal women, and 47 midwives who were based in two large maternity units in Yorkshire, England. Transcriptions of data were analyzed to identify broad themes. Results: Ten dimensions of quality were identified Similarities between midwives and women included beliefs about the importance of the relationship between the two parties desired attributes of staff and the environment of care. Key differences included underestimating the importance of information antenatally and postnatally, the importance of continuity during labor need for central and confidence in adjusting to the maternal role, and involvement of the woman's partner in the delivery of care. Conclusions: An understanding Of the concerns of women by maternity care staff is important in the development of a woman-focused service, in line with current policy recommendations, and has implications for risk management and improving the service quality for those who provide and experience the service.