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[目的]了解并深入挖掘影响产前保健质量的因素,提出可行性建议,为进一步提高产前检查普及率提供一定的理论基础和依据。[方法]采用定性研究的方法,进行个人深入访谈并采用问题分析和矩阵排序的方法对发现的影响因素进行分析和排序,以明确供需双方主要影响因素。[结果]产前检查服务需求方最主要利用障碍是对产前检查认识不足和自身及家庭经济困难,而服务提供方面临的主要困难和问题是政府投入经费不足和基层卫生防保工作不到位。[结论]只有加强财政投入,完善三级妇幼保健网自身建设,重视基层防保工作,提高群众对产前检查重要性的认识,才能够切实地提高产前检查服务利用率及服务质量。
[Objective] To understand and deeply tap the factors affecting the quality of prenatal care, put forward feasible suggestions and provide some theoretical basis and basis for further improving the prenatal checkup rate. [Methods] Using qualitative research methods, we conducted personal interviews and analyzed and sorted the founding factors by using the methods of problem analysis and matrix sorting so as to clarify the main influencing factors of both supply and demand. [Results] The main obstacles to prenatal screening service demand side were the lack of understanding of prenatal care and the economic difficulties of themselves and their families. The major difficulties and problems faced by service providers were the lack of government funding and inadequate health protection at the grassroots level . [Conclusion] Only by strengthening the financial investment, perfecting the construction of the three-level MCH network, paying more attention to the prevention of grassroots work and raising awareness of the importance of the prenatal examination, can we effectively improve the utilization rate and service quality of prenatal care.