摘要
目的:了解在预防艾滋病母婴传播管理中,各医疗保健服务机构在合作中的需求和相关的问题,深入了解多部门合作的障碍及其影响因素。方法:主要采用定性研究的方法:数据收集包括文献回顾研究、半结构深度访谈、焦点小组讨论、参与性观察、案例分析等;数据分析采用描述、归类、联系等定性研究分析的方法,综合归纳出一个相互联系的概念框架。结果:在预防艾滋病母婴传播的管理中有四类影响多部门合作的障碍:参与合作的能力不足;参与的各部门在合作中的需求不能满足;职能交叉、角色不明、不能承担共同的责任;缺少理解和信任,不能达成共识。在每一类合作障碍中又有若干个影响因素,这些因素之间相互作用,共同形成了合作障碍的框架。结论:在当前预防艾滋病母婴传播的管理中,有许多因素影响多部门的合作,需要制定相关的政策,明确职责,克服障碍,促进多部门的合作。
Objective ： To understand the demand and related questions of collaboration of clinical health care organizations in the prevention of mother - to - child transmission of acquired immune deficiency syndrome （AIDS） , explore the barriers and effect factors of multi -sectoral collaboration. Methods： Qualitative investigation was used in the study. The primary data collection methods were semi - structured in -depth interviews and focus groups, with stakeholder identifcation, participation observation and case study. Data analysis included description, classification and contact. Results ： Four barriers were found in the study ： lack of capacity for collaboration ; stakehold- ers＇different demands for collaboration; stakeholders＇undefined roles in collaboration and lack of trust. Each of these barriers comprised a number of effect factors. Conclusion ： In the management of prevention of mother - to - child transmission of AIDS, many factors affect the multi - sectoral collaboration, well - defined duties and responsibilities may promote the multi - sectoral collaboration.
出处
《中国妇幼保健》
CAS
北大核心
2009年第21期2905-2907,共3页
Maternal and Child Health Care of China
关键词
部门合作
障碍因素
艾滋病
母婴传播
母婴管理
Multi - sectoral collaboration
Barriers
Acquired immune deficiency syndrome
Mother - to - Child transmission
Management of mothers and babies
