典型文献
An implementation study of barriers to universal cervical length screening for preterm birth prevention at tertiary hospitals in Thailand: Healthcare managers' perspectives
文献摘要：
Objective: To identify healthcare managers' perspectives on the barriers to implementing cervical length screening to prevent preterm births. Methods: In PhaseⅠ, 10 healthcare managers were interviewed. Phase Ⅱ comprised questionnaire development and data validation. In Phase Ⅲ, the questionnaire was administered to 40 participants, and responses were analyzed. Results: Their average related work experience was (21.0±7.2) years; 39 (97.5％) respondents also had healthcare management responsibilities at their respective hospitals. Most hospitals were reported to have enough obstetricians (31 cases, 77.5％) and to be able to accurately perform cervical length measurements (22 cases, 55.0％). However, no funding was allocated to universal cervical length screening (39 cases, 97.5％). Most respondents believed that implementing universal screening, as per Ministry of Public Health policies, would prevent preterm births (28 cases, 70.0％). Moreover, they suggested that hospital fees for cervical length measurements should be waived (34 cases, 85.0％). Three main perceived barriers to universal screening at tertiary hospitals were identified. They were heavy obstetrician workloads (20 cases, 50.0％); inadequate numbers of medical personnel (24 cases, 60.0％); not believing that the screening test could prevent preterm birth (8 cases, 20％) and lack of free drug support for preterm birth prevention in high-risk cases (29 cases, 72.5％). Conclusions: The main obstacles to universal cervical length screening are heavy staff workloads and inadequate government funding for ultrasound scanning and hormone therapy. The healthcare managers do not believe that the universal cervical length screening can help to reduce preterm birth.
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中图分类号：
作者姓名：
Vitaya Titapant;Saifon Chawanpaiboon;Sanitra Anuwutnavin;Attapol Kanjanapongporn;Julaporn Pooliam;Pimolphan Tangwiwat
作者机构：
Division of Maternal-Fetal Medicine,Department of Obstetrics and Gynaecology,Faculty of Medicine Siriraj Hospital,Mahidol University,Bangkok 10700,Thailand;Department of Social Sciences,Faculty of Social Sciences and Humanities,Mahidol University,Nakhon Pathom 73170,Thailand;Clinical Epidemiological Unit,Office for Research and Development,Faculty of Medicine,Siriraj Hospital,Mahidol University,Bangkok 10700,Thailand;Maternal and Child Health Division,Bureau of Health Promotion,Department of Health,Ministry of Public Health,Nonthaburi 11000,Thailand
文献出处：
引用格式：
[1]Vitaya Titapant;Saifon Chawanpaiboon;Sanitra Anuwutnavin;Attapol Kanjanapongporn;Julaporn Pooliam;Pimolphan Tangwiwat-.An implementation study of barriers to universal cervical length screening for preterm birth prevention at tertiary hospitals in Thailand: Healthcare managers' perspectives)[J].亚太生殖杂志（英文版）,2022(01):1-11
A类：
waived,obstetrician
B类：
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AB值：
0.480358
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