背景:以妇女为中心的护理:澳大利亚产妇服务的战略方向(战略),2019年11月发布,为有效提供产妇护理提供国家指导。该战略围绕四个核心价值观(安全,尊重,选择,和访问)支持十二个以妇女为中心的护理原则。
目的:探讨获得澳大利亚生育服务的妇女的经历是否与该战略的价值观和原则相一致。
方法:邀请在2020年1月至2023年6月期间在澳大利亚完成了整个孕产期护理的妇女参加在线调查。根据战略的价值观和原则,妇女的经验及其与护理模式的联系,年龄,居住地,教育程度,报告了家庭收入。
结果:调查由1750名女性完成。一定比例的女性认为该战略的价值观没有反映在她们所经历的护理中。在最低的时候,只有50.3%的女性接受了大部分或总是与价值观相一致的护理,最高为85.9%。根据该战略,接受私人护理模式的妇女更有可能接受护理。接受标准和高风险公立医院护理的妇女,农村/偏远地区的妇女,年轻女性不太可能接受相应的护理。人们普遍认为产后护理会更糟。
结论:尽管阐明了应如何提供澳大利亚的产妇护理,该战略的意图尚未完全实现。在整个孕产期,女性获得护理的机会和经历都存在不平等。
BACKGROUND: Women Centred Care: Strategic directions for Australian maternity services (the Strategy), released in November 2019, provides national guidance on effective maternity care provision. The Strategy is structured around four core values (safety, respect, choice, and access) underpinning twelve woman-centred care principles.
OBJECTIVE: To explore whether the experiences of women who accessed Australian maternity services were aligned with the Strategy\'s values and principles.
METHODS: Women who had completed an entire maternity care episode in Australia between January 2020 and June 2023 were invited to participate in an online survey. Women\'s experiences according to the Strategy\'s values and principles and their association with model of care, age, place of residence, educational attainment, and household income are reported.
RESULTS: The survey was completed by 1750 women. A proportion of women perceived the Strategy\'s values were not reflected in the care they experienced. At its lowest, only 50.3 % of women received an aspect of care that mostly or always aligned with the values, and 85.9 % at its highest. Women in private models of care were more likely to experience care according to the Strategy. Women in standard and high-risk public hospital care, rural/remote dwelling women, and younger women were less likely to experience care accordingly. Care was universally perceived to be worse in the postnatal period.
CONCLUSIONS: Despite articulating how Australian maternity care should be provided, the intent of the Strategy has not been fully realised. Inequities exist in women\'s access to and experiences of care across the entire maternity episode.