Using Knowledge Management and Mhealth in High-Risk Pregnancy Care: A Case for the Floating Population in China

Author(s):  
Ben-Da Gu ◽  
Ji-Jiang Yang ◽  
Jian-Qiang Li ◽  
Qing Wang ◽  
Yu Niu
1986 ◽  
Author(s):  
Sam Shapiro ◽  
Marie C. McCormick ◽  
Barbara H. Starfield

2019 ◽  
Author(s):  
Nathan Aratani ◽  
Oswaldo Yoshimi Tanaka

Abstract Background: In the Brazilian Public healthcare system (The Unified Healthcare System - Sistema Único de Saúde), Primary Healthcare has expanded from implementing healthcare networks, an organization form of services with centrality to primary care services. Due to the extension and heterogeneity of Brazilian municipalities, several organization forms of primary care services existed. In the city of São Paulo they were organized by three modalities of Basic Health Units. Thus, this study aimed to evaluate the care continuity in high-risk pregnancy care in different models of the basic health units. Methods:Data analysis defined performing prenatal care in primary care even after referral to the high-risk pregnancy service as the dependent variable. The independent variables were the sociodemographic and organizational aspects of health services. Logistic regression was used as the statistical technique. Results:Care is provided in a similar way in all basic health unit models, without prioritizing pregnant women with greater vulnerabilities (under 15 years and over 35 years, with education less than 7 years). Regarding women of black or brown color, it was observed that they were more likely (OR 1.997) to have care continuity in family health units. Home visiting and knowing the community health agent proved to be tools for organizing health services which are capable of producing better care. Conclusion: Primary healthcare services in Brazil for high-risk pregnancy care are organized without considering individual vulnerabilities. The home visits and the presence of the community health agent need to be strengthened in organizing the services, as they are able to modify the process of producing healthcare.


2012 ◽  
Vol 62 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Deepika Deka ◽  
Vatsla Dadhwal ◽  
Kumar Kallol Roy ◽  
Neena Malhotra ◽  
Arvind Vaid ◽  
...  

2017 ◽  
Vol 1 (4) ◽  
pp. 135-135
Author(s):  
Haleh Ayatollahi ◽  
Malihe GhalandarAbadi

Introduction: The number of high-risk pregnancy in the country is a lot, and the evidence shows that quality of care is not high for this group of people. Due to the importance of pregnancy care and its effect on the mothers' and newborns' health and the priority of prevention over treatment, serious attention needs to be paid to this group of patients in this field, like other fields of medicine, telemedicine has been used as a tool to improve the quality of care. Aim: This study aimed to review the applications of telemedicine technology in the care of high-risk pregnant women. Method: The was a review study which was completed by searching the databases, such as PubMed, Science Direct, Scopus, Web of knowledge and by using keywords like “mhealth", "telehealth”, “high-risk pregnancy”, telemedicine”. Results: The results showed that in addition to describing different telemedicine technologies in pregnancy care, advantages and disadvantages of using these technologies were discussed in a number of papers. The most important benefits of using telemedicine in high-risk pregnancy included patient satisfaction, quality of care improvement, cost reduction and fast communication between clinical staff.  The main challenges of using these technologies included ethical, technical and financial challenges. Conclusion: Reducing health care costs and improving health care delivery to the pregnant women are among the leading health policies in all countries. Despite numerous challenges in deploying telemedicine technologies, it seems that using this technology is highly acceptable among users and the advantages of using this technology can help to accelerate delivery of health care to the high-risk pregnant women.


1986 ◽  
Author(s):  
Sam Shapiro ◽  
Marie C. McCormick ◽  
Barbara H. Starfield

2020 ◽  
Vol 20 (3) ◽  
pp. 147-155
Author(s):  
Nazirah Jusoh ◽  
Tengku Alina Tengku Ismail ◽  
Noor Aman A. Hamid

Pre-pregnancy care is an important approach for maternal and child health. This study aimed to determine the knowledge about pre-pregnancy care and factors associated with good pre-pregnancy care knowledge among women with high risk pregnancy in Kinta, Perak. A cross-sectional study was conducted among women diagnosed as high-risk pregnancy in governmental health clinics in Kinta. Stratified random sampling was applied and interviewer-guided questionnaires were administered. A proforma and the validated Pre-pregnancy Care Knowledge and Practice Questionnaire were used, consisting of 21 items on knowledge. Good pre-pregnancy care knowledge was defined as those with the total score of more than 12. Logistic regression analysis was conducted using SPSS software. Of the 490 women, their mean age was 29.98 (SD 5.51) years. Less than half (48.6%) had good knowledge of pre-pregnancy care. Education level and attended pre-pregnancy care services were significantly associated with good pre-pregnancy care knowledge. Compared to women with secondary and below education, those with tertiary education had two times odds of having good pre-pregnancy care knowledge (Adjusted odds ratio 2.06; 95% CI: 1.41, 3.03; p<0.001). Compared to women who never attended pre-pregnancy care services, those who had attended were almost 2.5 times higher odds of having good pre-pregnancy care knowledge (Adjusted odds ratio 2.46; 95% CI: 1.59, 3.83; p<0.001). The pre-pregnancy care knowledge of women with high risk pregnancy in this study was still unsatisfactory. The area with a lacking of knowledge and the significant factors should be focused to improve pre-pregnancy care knowledge and utilization.


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