Women's impressions of their inpatient birth care as provided by family physicians in the Shizuoka Family Medicine Training Program in Japan.

Q1 Medicine Asia Pacific Family Medicine Pub Date : 2013-05-22 DOI:10.1186/1447-056X-12-1
Mariko Yokota, Shinji Tsunawaki, Keiichiro Narumoto, Michael D Fetters
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引用次数: 3

Abstract

Background: Even though Japan faces serious challenges in women's health care such as a rapidly aging population, attrition of obstetrical providers, and a harsh legal climate, few family medicine residency training programs in Japan include training in obstetrics, and the literature lacks research on women's views of intra-partum pregnancy care by family physicians.

Findings: In this exploratory study, we conducted semi-structured qualitative interviews with five women who received their admission, intrapartum, delivery and discharge care from family medicine residents in the obstetrics ward of a community training hospital. Four women had vaginal births, and one had a Cesarean section. Three were primiparous, and two multiparous. Their ages ranged from 22-33. They found value in family physician medical knowledge and easy communication style, though despite explanation, some had trouble understanding the family physician's scope of work. These women identified negative aspects of the hospital environment, and wanted more anticipatory guidance about what to expect physically after birth, but were enthusiastic about seeing a family doctor after discharge.

Conclusions: These results demonstrate the feasibility of family medicine residents providing inpatient birth care in a community hospital, and that patients are receptive to family physicians providing that care as well after discharge. Women's primary concerns relate mostly to hospital environment issues, and better understanding the care family physicians provide. This illustrates-areas for family physicians to work for improvements.

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日本静冈县家庭医学培训项目中家庭医生提供的妇女对住院分娩护理的印象。
背景:尽管日本在妇女保健方面面临着严峻的挑战,如人口迅速老龄化、产科医生的流失和严酷的法律环境,但日本的家庭医学住院医师培训项目中很少包括产科培训,而且文献中缺乏关于家庭医生对妇女分娩期间妊娠护理看法的研究。结果:在本探索性研究中,我们对一家社区培训医院产科病房接受家庭医学住院医师入院、产时、分娩和出院护理的5名妇女进行了半结构化定性访谈。四名妇女顺产,一名剖宫产。三个是初产,两个是多产。他们的年龄在22-33岁之间。他们发现家庭医生的医学知识和轻松的沟通方式很有价值,尽管有解释,但有些人很难理解家庭医生的工作范围。这些妇女发现了医院环境的消极方面,并希望得到更多关于分娩后身体状况的预期指导,但她们热衷于在出院后去看家庭医生。结论:本研究结果表明家庭医学住院医师在社区医院提供住院分娩护理的可行性,以及患者在出院后对家庭医生提供分娩护理的接受程度。妇女主要关心的是医院环境问题,以及更好地了解家庭医生提供的护理。这说明了家庭医生需要改进的地方。
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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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