Health System Shocks & Care Seeking Behaviour: How hasthe COVID-19 pandemic affected care seeking behaviour forpregnant women who belong to ethnic min

卫生系统的冲击

• 批准号: 2745688
• 金额: --
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2745688
• 关键词: Health; System; Shocks; Care; Seeking

This project aims to gain in-depth insight on how a life course approach can be used to explain care seeking behaviour of pregnant women who belong to an ethnic minority or socially complex group, during a health system shock such as theCOVID-19 pandemic. Pregnant women are more likely to develop severe symptoms of SARS CoV-2 infection and have poorer outcomes in pregnancy. Furthermore, women who belong to an ethnic minority or socially complex group are particularly vulnerable, attributed to social determinants of health and social deprivation. Policy changes, rapid reconfiguration of maternity services, and confusing guidance from the government have led to a reduction initialization of maternity services and hesitancy in vaccination uptake. Care seeking behavior is rooted in dynamic social contexts, making it imperative to analyse how populations engage with health systems. I will use a mixed-methods sequential explanatory design: first investigating clinical quantitative data to find comparative rates of care seeking differences within groups, followed by an exploration of qualitative data from participatory appraisal activities and in-depth interviews with women in South London to explain and elaborate statistical findings. Using interdisciplinary social and medical science research, the project will explore how pregnant women respond to policy changes in the health system and help inform future policy development tomanage imminent health system shocks.

该项目旨在深入了解如何使用生命历程方法来解释少数族裔或社会复杂群体孕妇在 COVID-19 大流行等卫生系统冲击期间寻求护理的行为。孕妇更有可能出现严重的 SARS CoV-2 感染症状，且妊娠结局较差。此外，由于健康和社会剥夺的社会决定因素，属于少数族裔或社会复杂群体的妇女特别脆弱。政策变化、产妇服务的快速重组以及政府的混乱指导导致产妇服务启动减少和疫苗接种犹豫不决。寻求护理的行为植根于动态的社会环境中，因此必须分析人们如何与卫生系统互动。我将使用混合方法序贯解释性设计：首先调查临床定量数据，以找出群体内寻求护理差异的比较率，然后探索参与性评估活动和对伦敦南部女性的深入访谈的定性数据，以解释并详细阐述统计结果。该项目将利用跨学科的社会和医学科学研究，探讨孕妇如何应对卫生系统的政策变化，并帮助为未来的政策制定提供信息，以应对迫在眉睫的卫生系统冲击。