摘要
目的:了解和评价眉山市不同服务系统和等级医疗机构流产服务质量。方法:采用服务机构现场观察、技术人员深入访谈和流产妇女半结构式访谈等研究方法。结果:结果表明,该市流产服务可获得性良好,但服务对象对多数机构的服务环境和硬件设施以及技术人员优质服务意识和态度或多或少存在不满。观察发现多数服务的基础设施与群众对流产优质服务的要求存在不少差距,国家计划生育技术常规没能够严格执行,特别是预防术后感染、药物流产方案的执行、流产后避孕服务等重视不够。结论:要加强流产服务基础设施建设,提高技术人员优质服务意识,特别要加强流产服务整个过程中生殖道感染预防、流产后计划生育服务及严格执行药物流产技术常规。
Objective： To evaluate the quality of abortion care at different levels of health institutions of Meishan. Methods： Observation, in-depth interview, record check and exit interview were used in this study. Six health institutions from different levels of public health and family planning systems were investigated. Results： The accessibility of abortion service was good. A small number of clients were not satisfied with abortion service mainly because of dissatisfaction of service environment, equipment, technique, privacy protection, waiting time and providers＇ attitude toward to the clients. It was found that the infrastructures of most institutions need to be improved. The national abortion guide was not strictly followed in many cases, particular the management of RTIs and the procedure of medical abortion. Family planning counseling and provision of contraceptive methods were largely not conducted at some institutions. Conclusion： The infrastructures of most health institutions should be improved. A standard training program for service providers is urgently needed. Among which, particular attention should be paid on management of RTIs, provision of contraceptive methods, and strict implementation of national medical abortion guide.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2008年第4期240-244,共5页
Reproduction and Contraception
基金
世界卫生组织生殖健康与研究署的资助项目,编号A35080
关键词
流产
人工流产
服务质量
定性研究
评价
abortion
induced abortion
quality of care
qualitative study
evaluation
