Cargando…
Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol
BACKGROUND: National and international guidelines for the management of hypertensive disorders of pregnancy (HDP) are available in developing countries. However, more detailed clinical pathways for primary care settings are limited. This study focuses on Indonesia, where 72% of women who died from H...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359831/ https://www.ncbi.nlm.nih.gov/pubmed/30709408 http://dx.doi.org/10.1186/s12978-019-0674-0 |
_version_ | 1783392365770178560 |
---|---|
author | Ekawati, Fitriana Murriya Licqurish, Sharon Emilia, Ova Gunn, Jane Brennecke, Shaun Lau, Phyllis |
author_facet | Ekawati, Fitriana Murriya Licqurish, Sharon Emilia, Ova Gunn, Jane Brennecke, Shaun Lau, Phyllis |
author_sort | Ekawati, Fitriana Murriya |
collection | PubMed |
description | BACKGROUND: National and international guidelines for the management of hypertensive disorders of pregnancy (HDP) are available in developing countries. However, more detailed clinical pathways for primary care settings are limited. This study focuses on Indonesia, where 72% of women who died from HDP and its complications had received less appropriate treatment according to international guidelines. There is an urgent need to develop primary care focused pathways that enable general practitioners (GPs), midwives and other relevant providers to manage HDP better. OBJECTIVES: This paper describes a study protocol for the development of HDP management pathways for Indonesian primary care settings. METHODS: This study design is informed by Implementation Science theories and consists of three phases. The exploratory phase will involve conducting semi-structured interviews with key Indonesian primary care stakeholders to explore their experiences and views on HDP management. The development phase will apply evidence from the literature review and results of the exploratory phase to develop HDP management pathways contextualised to Indonesian primary care settings. Consensus will be sought from approximately 50 experts, consist of general practitioners (GPs), midwives, obstetricians, nurses and policy makers using Delphi technique survey. The evaluation phase will involve a pilot study to evaluate the pathways’ acceptability and feasibility in a sample of Indonesian primary care practices using mixed methods. DISCUSSION: The implementation science frameworks inform and guide the phases in this study. Qualitative interviews in the exploratory phase are conducive to eliciting opinions from key stakeholders. Using Delphi technique at the development phase is suitable to seek participants’ consensus on HDP management in primary care. Observations, focus group discussions, interviews as well as analysis of patients’ medical records at the evaluation phase are expected to provide a comprehensive investigation of the implementation of the pathways in practice settings. |
format | Online Article Text |
id | pubmed-6359831 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63598312019-02-07 Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol Ekawati, Fitriana Murriya Licqurish, Sharon Emilia, Ova Gunn, Jane Brennecke, Shaun Lau, Phyllis Reprod Health Study Protocol BACKGROUND: National and international guidelines for the management of hypertensive disorders of pregnancy (HDP) are available in developing countries. However, more detailed clinical pathways for primary care settings are limited. This study focuses on Indonesia, where 72% of women who died from HDP and its complications had received less appropriate treatment according to international guidelines. There is an urgent need to develop primary care focused pathways that enable general practitioners (GPs), midwives and other relevant providers to manage HDP better. OBJECTIVES: This paper describes a study protocol for the development of HDP management pathways for Indonesian primary care settings. METHODS: This study design is informed by Implementation Science theories and consists of three phases. The exploratory phase will involve conducting semi-structured interviews with key Indonesian primary care stakeholders to explore their experiences and views on HDP management. The development phase will apply evidence from the literature review and results of the exploratory phase to develop HDP management pathways contextualised to Indonesian primary care settings. Consensus will be sought from approximately 50 experts, consist of general practitioners (GPs), midwives, obstetricians, nurses and policy makers using Delphi technique survey. The evaluation phase will involve a pilot study to evaluate the pathways’ acceptability and feasibility in a sample of Indonesian primary care practices using mixed methods. DISCUSSION: The implementation science frameworks inform and guide the phases in this study. Qualitative interviews in the exploratory phase are conducive to eliciting opinions from key stakeholders. Using Delphi technique at the development phase is suitable to seek participants’ consensus on HDP management in primary care. Observations, focus group discussions, interviews as well as analysis of patients’ medical records at the evaluation phase are expected to provide a comprehensive investigation of the implementation of the pathways in practice settings. BioMed Central 2019-02-01 /pmc/articles/PMC6359831/ /pubmed/30709408 http://dx.doi.org/10.1186/s12978-019-0674-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Ekawati, Fitriana Murriya Licqurish, Sharon Emilia, Ova Gunn, Jane Brennecke, Shaun Lau, Phyllis Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol |
title | Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol |
title_full | Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol |
title_fullStr | Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol |
title_full_unstemmed | Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol |
title_short | Developing management pathways for hypertensive disorders of pregnancy (HDP) in Indonesian primary care: a study protocol |
title_sort | developing management pathways for hypertensive disorders of pregnancy (hdp) in indonesian primary care: a study protocol |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359831/ https://www.ncbi.nlm.nih.gov/pubmed/30709408 http://dx.doi.org/10.1186/s12978-019-0674-0 |
work_keys_str_mv | AT ekawatifitrianamurriya developingmanagementpathwaysforhypertensivedisordersofpregnancyhdpinindonesianprimarycareastudyprotocol AT licqurishsharon developingmanagementpathwaysforhypertensivedisordersofpregnancyhdpinindonesianprimarycareastudyprotocol AT emiliaova developingmanagementpathwaysforhypertensivedisordersofpregnancyhdpinindonesianprimarycareastudyprotocol AT gunnjane developingmanagementpathwaysforhypertensivedisordersofpregnancyhdpinindonesianprimarycareastudyprotocol AT brenneckeshaun developingmanagementpathwaysforhypertensivedisordersofpregnancyhdpinindonesianprimarycareastudyprotocol AT lauphyllis developingmanagementpathwaysforhypertensivedisordersofpregnancyhdpinindonesianprimarycareastudyprotocol |