印度私营部门的集体产前护理启动:提高护理质量的实施之旅》。

Tara Danielle Kinra, Vanisree Ramanathan, Chinmay Pramod Umarji, Peg Dublin, Sharon Schindler Rising
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引用次数: 0

摘要

导言:印度私营医疗机构引入创新的产前和产后集体护理模式,有可能改变家庭在怀孕期间及以后的经历。世界范围内越来越多的证据表明,这种模式将分散的医疗保健系统转变为更加综合的模式,从而提高了护理质量,改善了母婴护理效果。本研究旨在更好地了解在印度私营医疗机构实施产前护理小组模式的挑战和益处,以提高护理质量:方法:通过由一名公共卫生硕士研究生和一家在实施该模式方面具有专长的国际组织共同领导的合作创新项目,确定了普纳一家拥有 35 张床位的城市私立医院,该医院已准备好与利益相关者共同探讨该模式,培训医院员工作为促进者,并启动集体产前护理。对主持人进行了半结构化访谈,同时还听取了各组参与者的反馈意见,并由培训师对各组进行了观察,对与实施该模式的优势和障碍有关的主题进行了定性分析:从 2022 年 11 月到 2023 年 6 月,共有 31 名孕妇在第二至第三个孕期参加了由三名培训师组成的两组产前护理小组。在回顾该模式的实施经验时,最大的优点是满足了参与者的需求、参与度高以及该模式的相对优势。实施过程中面临的挑战包括时间安排和出勤率、调整模式以实现兼容性、能力建设以及需要更多的持续规划、监测和评估:结论:通过这一创新项目,我们吸取了重要的经验教训,为今后的试点研究提供了有力的规划。以病人为中心的综合产前护理是优质护理的标志,这种小组模式不仅可以在私营医疗部门,而且可以在整个印度推广。
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Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care.

Introduction: The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward a more integrated model to improve quality in care and outcomes for mothers and children. The aim of this study was to better understand the challenges and benefits of implementation of the group model of antenatal care in the Indian private health sector for the purpose of improving quality of care.

Methods: Through a collaborative innovation project led by a master's student of public health and an international organization with expertise in implementing this model, an urban 35-bed private hospital in Pune was identified with readiness to explore the model with stakeholders, train hospital staff as facilitators, and initiate group antenatal care. Semi-structured interviews with facilitators, along with feedback from participants in cohorts and observation of the groups by the trainer, were done for qualitative analysis of themes related to the strengths and barriers in implementing the model.

Results: A total of 31 pregnant women participated in two cohorts over their second to third trimesters for group antenatal care with a team of three facilitators from November 2022 to June 2023. On review of experiences in implementing the model, the top strengths demonstrated were meeting of felt needs of the participants, high engagement, and relative advantage of the model. Challenges for implementation included for scheduling and attendance, adapting the model for compatibility, capacity-building, and need for more ongoing planning, monitoring, and evaluation.

Conclusions: Through this innovation project, important lessons were learned for robust planning for a future pilot study. Patient-centered and integrated antenatal care are markers of quality of care that this group model can bring not only in the private healthcare sector but throughout India.

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Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care. Accreditation Made Easy: Step-by-Step Guide for Healthcare Institutions. Summary of the 5th International Pharmacoeconomics Forum. Community Health Needs Assessment of Primary Healthcare in Saudi Arabia: A Cross-Sectional Study. Prescribing Errors in an Ambulatory Care Setting: Mitigating Risks in Outpatient Medication Orders, Cross-Sectional Review.
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