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Advancing a conceptual model to improve maternal health quality: The Person-Centered Care Framework for Reproductive Health Equity

机译：推进概念模型以提高孕产妇保健质量：以人为本的生殖健康公平保健框架

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>Background: Globally, substantial health inequities exist with regard to maternal, newborn and reproductive health. Lack of access to good quality care—across its many dimensions—is a key factor driving these inequities. Significant global efforts have been made towards improving the quality of care within facilities for maternal and reproductive health. However, one critically overlooked aspect of quality improvement activities is person-centered care. >Main body: The objective of this paper is to review existing literature and theories related to person-centered reproductive health care to develop a framework for improving the quality of reproductive health, particularly in low and middle-income countries. This paper proposes the Person-Centered Care Framework for Reproductive Health Equity, which describes three levels of interdependent contexts for women’s reproductive health: societal and community determinants of health equity, women’s health-seeking behaviors, and the quality of care within the walls of the facility. It lays out eight domains of person-centered care for maternal and reproductive health. >Conclusions: Person-centered care has been shown to improve outcomes; yet, there is no consensus on definitions and measures in the area of women’s reproductive health care. The proposed Framework reviews essential aspects of person-centered reproductive health care.
机译：>背景：在全球范围内，在孕产妇，新生儿和生殖健康方面存在严重的健康不平等现象。在许多方面，缺乏获得优质护理的机会是导致这些不平等现象的关键因素。全球在提高产妇和生殖健康设施内的护理质量方面做出了重大努力。但是，以质量为中心的活动被严重忽视的一个方面是以人为中心的护理。 >主体：本文的目的是回顾与以人为中心的生殖健康保健有关的现有文献和理论，以建立改善生殖健康质量的框架，特别是在中低收入国家。本文提出了以人为中心的生殖健康公平护理框架，该框架描述了妇女生殖健康的三个相互依存的背景水平：健康公平的社会和社区决定因素，妇女的健康寻求行为以及在妇女隔离墙内的护理质量。设施。它列出了以人为中心的孕产和生殖健康护理的八个领域。 >结论：以人为本的护理已被证明可以改善治疗效果；但是，在妇女生殖健康保健领域的定义和措施方面尚未达成共识。拟议的框架审查了以人为本的生殖保健的基本方面。

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