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摘要
外文摘要
引文資料
題名:
丹麥孕產照護:助產師和產科醫師共同照護模式
書刊名:
臺灣公共衛生雜誌
作者:
施麗雯
作者(外文):
Shih, Li-wen
出版日期:
2018
卷期:
37:3
頁次:
頁280-294
主題關鍵詞:
丹麥
;
孕產照護
;
助產師
;
產科醫師
;
共同照護
;
Denmark
;
Maternity care
;
Midwife
;
Obstetrician
;
Model of collaboration
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:0
點閱:13
目標:助產師和產科醫生共同照護是目前許多先進國家採用的孕產照護模式。本文介紹施行該模式的北歐國家丹麥醫院裡,助產師與產科醫師專業分工的實作,並分析這套模式的優勢和其運作邏輯。方法:本文採用文獻分析,針對丹麥的全國統計資料庫、和相關文獻、報章媒體等整理和分析丹麥的孕產照護制度發展,並在丹麥進行田野調查,透過訪談(產科醫師、助產師和剛生產的懷孕女性)、參訪、診間的參與式觀察等,了解助產師和產科醫生分工下的照護實作以及挑戰。結果:丹麥孕產照護的專業分工來自國家制度化的保障,不但讓助產師和產科醫生能夠各司其職,亦能因應不同孕婦的健康需求給予照護。面對助產人力不足、居家產率上升等挑戰時,仍能從孕婦、助產師和產科醫師等多元角度去思考對策提出改善策略。結論:這些經驗有助於台灣相關政府單位未來想推動要學習這套孕產照護模式政策時作為參考。
以文找文
Objectives: The shared care model between obstetricians and midwives is one of the most adopted maternity care models in advanced industrial countries. This article attempts to introduce the Danish maternity care system, which practices this model, to enrich our understanding of the practice in which a collaboration between obstetricians and midwives is practiced, and also to learn the advantages and logic of care embedded in its practice. Methods: To understand Danish maternity care practice, this article is based on data from the Danish media, the national database (Statistics Denmark), related articles and books, field work with interviews of obstetricians, midwives, and pregnant couples from 2014-2017, and participant observations in 7 hospitals in Denmark. Results: Danish law, which ensures a division of labor between obstetricians and midwives that enables midwifery and obstetric professionals to work following a model of collaboration that provides care according to a woman's need. The logic of the Danish maternity care means that when the system is facing challenges from a rising home birth rate and shortage of midwives, Danish society listens to different perspectives from obstetric and midwifery professionals and also to women's need when generating strategies to overcome those challenges. Conclusions: This model serves as a good example to the Taiwanese government and society, and it is therefore of value to learn the core value and care practice policy in this maternity care model.
以文找文
期刊論文
1.
Siim, B.、Borchorst, A.(2008)。Woman-friendly policies and state feminism: Theorizing Scandinavian gender equality。Feminist Theory,9(2),207-224。
2.
Overgaard, C.、Møller, A. M.、Fenger-Grøn, M.、Knudsen, L. B.、Sandall, J.(2011)。Freestanding midwifery unit versus obstetric unit: a matched cohort study of outcomes in low-risk women。BMJ Open,1,e000262。
3.
Christiaens, Wendy、Bracke, Piet(2009)。Place of birth and satisfaction with childbirth in Belgium and The Netherlands。Midwifery,25(2),e11-e19。
4.
McKay, S.(1993)。Models of midwifery care. Denmark, Sweden, and The Netherlands。J Nurse Midwifery,38,114-120。
5.
Benoit, C.、Wrede, S.、Bourgeault, I.、Sandall, J.、De Vries, R.、van Teijlingen, E. R.(2005)。Understanding the social organisation of maternity care systems: midwifery as a touchstone。Sociol Health Illn,27,722-737。
6.
van Teijlingen, Edwin(2005)。A critical analysis of the medical model as used in the study of pregnancy and childbirth。Sociological Research Online,10(2),1-15。
7.
Dencker, A.、Smith, V.、McCann, C.、Begley, C.(2017)。Midwifeled maternity care in Ireland - a retrospective cohort study。BMC Pregnancy Childbirth,17,101。
8.
Wernham, E.、Gurney, J.、Stanley, J.、Ellison-Loschmann, L.、Sarfati, D.(2016)。A comparison of midwifeled and medical-led models of care and their relationship to adverse fetal and neonatal outcomes: a retrospective cohort study in New Zealand。PLoS Med,13,e1002134。
9.
Homer, C. S.(2016)。Models of maternity care: evidence for midwifery continuity of care。Med J Aust,205,370-374。
10.
Stevens, Gabrielle、Miller, Yvette D.、Watson, Bernadette、Thompson, Rachel(2016)。Choosing a model of maternity care: decision support needs of Australian women。Birth,43(2),167-175。
11.
Walsh, D. J.(2010)。Childbirth embodiment: problematic aspects of current understandings。Sociol Health Illn,32,486-501。
12.
O'Connell, R.、Downe, S.(2009)。A metasynthesis of midwives' experience of hospital practice in publicly funded settings: compliance, resistance and authenticity。Health,13,589-609。
13.
Miller, Amy Chasteen、Shriver, Thomas E.(2012)。Women's childbirth preferences and practices in the United States。Social Science and Medicine,75(4),709-716。
14.
MacDorman, Marian F.、Declercq, Eugene、Mathews, Thomas J.(2011)。United States home births increase 20 percent from 2004 to 2008。Birth,38,185-190。
15.
Christiaens, Wendy、Nieuwenhuijze, Marianne J.、De Vries, Raymond(2013)。Trends in the medicalisation of childbirth in Flanders and the Netherlands。Midwifery,29(1),e1-e8。
16.
Løkke, A.(2012)。The antibiotic transformation of Danish obstetrics. The hidden links between the decline in perinatal mortality and maternal mortality in the midtwentieth century。Annales De Démographie Historique,123,205-224。
17.
Knudsen, L. B.、Helweg-Larsen, K.(1985)。Enændret fødselspolitik?。Politica,17,198-209。
18.
Olejaz, M.、Juul, Nielsen A.、Rudkjøbing, A.、Okkels, Birk H.、Krasnik, A.、Hernández-Quevedo, C.(2012)。Denmark: health system review。Health Systems in Transition,14,1-192。
19.
Vrangbaek, K.、Christiansen, T.(2005)。Health policy in Denmark: leaving the decentralized welfare path?。J Health Polit Policy Law,30,29-52。
20.
Beckett, Katherine(2005)。Choosing cesarean: Feminism and the politics of childbirth in the United States。Feminist Theory,6(3),251-275。
21.
Kingdon, C.、Neilson, J.、Singleton, V.(2009)。Choice and birth method: mixed-method study of caesarean delivery for maternal request。BJOG,116,886-895。
22.
Bryant, J.、Porter, M.、Tracy, S. K.、Sullivan, E. A.(2007)。Caesarean birth: consumption, safety, order, and good mothering。Soc Sci Med,65,1192-1201。
23.
Zwelling, E.、Phillips, C. R.(2001)。Family-centered maternity care in the new millennium: Is it real or is it imagined?。J Perinat Neonatal Nurs,15,1-12。
24.
Murray, W.、Enkin, M. W.(1973)。Family centered maternity care。Can Fam Physician,19,45-48。
學位論文
1.
Overgaard, C.(2012)。Care closer to home - what does it offer? A study of safety and quality of maternity care in freestanding midwifery units(學士論文)。Aalborg University,Denmark。
2.
Hansen, C. H.(2017)。Evidence-based medicine and clinical gudinelines: through the case study of induction of labour for post-term pregnancies(-)。Aalborg University,Danmark。
圖書
1.
Loekke, A.(2003)。Midwife, Society and Childbirth。London:Routledge。
2.
The Ministry of Health(2017)。Healthcare in Denmark: An Overview。The Ministry of Health。
3.
Sundhedsstyrelsen(2017)。New in Denmark - Pregnancy and Birth。Denmark:Sundhedsstyrelsen。
其他
1.
International Federation of Gynecology and Obstetrics FaICoM, ICM(2012)。A joint statement by Frances Day-Stirk, President of the International Confederation of Midwives (ICM) and Prof. Gamal I. Serour, President of the International Federation of Gynecology and Obstetrics (FIGO) on the occasion of the 20th International Day of the Midwife,http://www.figo.org/sites/default/files/120504%20ICM%20FIGO%20IDM%20statement.pdf。
2.
National Institute for Health and Care Excellence。Intrapartum care for healthy women and babies United Kingdom 2014,https://www.nice.org.uk/guidance/cg190/evidence。
3.
衛生福利部附屬醫療及社會福利機構管理會。友善多元溫柔生產醫院試辦計畫起跑記者會,https://www.mohw.gov.tw/cp-16-21448-1.html。
延伸查詢
4.
黃筱珮(20161219)。溫柔革命/生產不是生病 把「主權」從醫師手中奪回。
延伸查詢
5.
施麗雯,劉宇庭(2016)。生產編舞:臺灣的孕產照護邏輯和女性的生殖選擇,臺南:臺南成功大學。
延伸查詢
6.
吳嘉苓,謝新誼(2016)。破碎治理:邊緣化的共照制度&缺席的臨床指引,臺南:國立成功大學。
延伸查詢
7.
Statistikbanken。Statistikbanken, 2015,http://www.statistikbanken.dk/statbank5a/selectvarval/saveselections.asp。
8.
Dansk Selskab for Obstetrik og Gynækologi。Obstetriske guidelines 2001-2017,http://www.dsog.dk/obstetrik。
9.
Regioner, D.。Kortlægning af svangreomsorgen. Et overblik over organisering, aktivitet o g personaleressourcer i den regionale svangreomsorg,http://www.regioner.dk/media/5431/kortlaegning-afsvangreomsorgen_2017.pdf。
10.
Bodon, L.。Leder: Stor, større - med ikke nødvendigvis bedre,http://www.jordemoderforeningen.dk/tidsskrift-for-jordemoedre/artikelarkiv/2017/nr-6-2017/。
11.
Damlv, L.。Forventet babyboom vil lægge pres pålandets fødeafdelinger,https://www.dr.dk/nyheder/indland/forventet-babyboom-vil-laegge-prespaa-landets-foedeafdelinger。
12.
Politiken, Denmark。50 millioner kroner skal sikre hænder til flere børnefødsler,https://politiken.dk/indland/politik/art5982767/50-millioner-kroner-skal-sikre-h%C3%A6nder-til-flereb%C3%B8rnef%C3%B8dsler。
13.
Madsen, M. B.。Flere Kvinder vil foede I eget hjem,https://politiken.dk/forbrugogliv/livsstil/familieliv/art5631022/Flere-kvinder-vil-f%C3%B8de-iegethjem。
14.
Madsen, M. B.。Flugten fra det faelles,https://politiken.dk/.Politiken。
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