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首页> 外文期刊>BMC Health Services Research >Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000?days of life: a systematic review of the literature
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Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000?days of life: a systematic review of the literature

机译：原住民和托雷斯海峡岛民家庭在前1000年的卫生保健服务的连续性？生活中的日子：对文献的系统审查

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Aboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective and appropriate maternal and child healthcare can contribute to reducing these existing health disparities. However, accessing mainstream healthcare services often results in high levels of fear and anxiety, and low attendance at subsequent appointments among Aboriginal women, due to inefficient communication, poor service coordination and a lack of continuity of care. This integrative literature review sought to explore factors that contribute to continuity of care and consider service features that contribute to positive care experiences and satisfaction with care received by Aboriginal women and their infants. In total, 28 studies were included in the review and were thematically analysed using Braun and Clarke’s six steps of thematic analysis. This was followed by a collaborative, computer-assisted qualitative analysis, which resulted in the emergence of five key themes: lack of continuity of care, impact of lack of continuity of care, continuity of care interventions, impact of continuity of care interventions, and strategies to improve continuity of care. Most studies focused on health services in rural or remote Aboriginal communities and there was a lack of documented evidence of continuity of care (or lack thereof) for Aboriginal women living and birthing in regional and metropolitan areas. The majority of studies focused explicitly on continuity of care during the antenatal, birthing and immediate postnatal period, with only two studies considering continuity through to an infant’s first 1000?days. The review highlights a lack of studies exploring continuity of care for Aboriginal families from the antenatal period through to an infants’ first 1000?days of life. Included studies identified a lack of continuity in the antenatal, peri- and postnatal periods in both regional and metropolitan settings. This, along with identified strategies for enhancing continuity, have implications for communities, and healthcare services to provide appropriate and culturally safe care. It also marks an urgent need to incorporate and extend continuity of care and carer through to the first 1000?days for successful maternal and infant health outcomes for Aboriginal peoples.
机译：与非原住民同行相比，土着妇女及其婴儿在健康结果中经历了显着的缺点。进入及时，有效和适当的孕产妇医疗保健可以有助于减少这些现有的健康差异。然而，由于效率低下，服务协调，服务协调差和缺乏关心，往往导致大量恐惧和焦虑，并且在土着妇女的后续约会中导致较高的恐惧和焦虑。这种综合文献综述寻求探索有助于关心的连续性的因素，并考虑与土着妇女及其婴儿的护理有助于积极护理经验和满足的服务特征。审查中，共有28项研究，并使用Braun和Clarke的六个主题分析进行了专题分析。随后是一个协作，计算机辅助的定性分析，导致了五个关键主题的出现：缺乏关心的连续性，缺乏关心连续性的影响，护理干预的连续性，护理干预的连续性的影响，以及护理干预的连续性的影响，改善护理连续性的策略。大多数研究专注于农村或偏远土着社区的健康服务，对区域和大都市地区的土着妇女生活和分娩缺乏记录的护理（或缺乏）的证据。大多数研究在产前，分娩和后期产后期间明确关注护理的连续性，只考虑到婴儿的前1000次连续性的两项研究。审查旨在缺乏研究探讨土着家族的关心，从产前期间到婴儿的前1000个？生命的日子。包括的研究确定了区域和大都市环境中的产抗产物，Peri和产后期内的连续性。这以及识别的策略加强连续性，对社区的影响以及医疗保健服务提供适当和文化安全的护理。它还标志着迫切需要将护理和护理人员的连续性纳入前1000？天数，以获得原住民的成功母婴和婴儿健康成果。

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