학술논문
Setting Preconception Care Priorities in Australia Using a Delphi Technique.
Document Type
Academic Journal
Author
Boyle JA; Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University. Clayton, VIC, Australia.; Black K; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia.; Dorney E; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia.; Amor DJ; Murdoch Children's Research Institute and University of Melbourne Department of Paediatrics, Royal Children's Hospital, Parkville, VIC, Australia.; Brown L; Jean Hailes for Women's Health, East Melbourne, VIC, Australia.; Callander E; Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University. Clayton, VIC, Australia.; Camilleri R; Jean Hailes for Women's Health, East Melbourne, VIC, Australia.; Cheney K; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia.; Gordon A; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia.; Hammarberg K; Global and Women's Health, School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC, Australia.; Jeyapalan D; Victorian Health Promotion Foundation (VicHealth), Melbourne, VIC, Australia.; Leahy D; Faculty of Education, Monash University, Clayton, VIC, Australia.; Millard J; Australian Primary Health Care Nurses Association (APNA), Melbourne, VIC, Australia.; Mills C; Monash Bioethics Centre, Faculty of Arts, School of Philosophical, Historical and International Studies, Monash University, Clayton, VIC, Australia.; Musgrave L; Centre for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.; Norman RJ; Robinson Research Institute, University of Adelaide, SA, Australia.; O'Brien C; Community Advisor. VIC, Australia.; Roach V; Royal Australian and New Zealand College of Obstetricians and Gynaecologists, Melbourne, VIC, Australia.; Skouteris H; Monash Warwick Professor in Health and Social Care Improvement and Implementation Science, Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Steel A; Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.; Walker S; Maternal Fetal Medicine, Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia.; Walker R; Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University. Clayton, VIC, Australia.
Source
Publisher: Thieme Medical Publishers Country of Publication: United States NLM ID: 100909394 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-4564 (Electronic) Linking ISSN: 15264564 NLM ISO Abbreviation: Semin Reprod Med Subsets: MEDLINE
Subject
Language
English
Abstract
Preconception health affects fertility, pregnancy, and future health outcomes but public awareness of this is low. Our aims were to rank priorities for preconception care (PCC), develop strategies to address these priorities, and establish values to guide future work in preconception healthcare in Australia. A Delphi technique involved two rounds of online voting and mid-round workshops. Inputs were a scoping review of PCC guidelines, a priority setting framework and existing networks that focus on health. During July and August, 2021, 23 multidisciplinary experts in PCC or social care, including a consumer advocate, completed the Delphi technique. Ten priority areas were identified, with health behaviors, medical history, weight, and reproductive health ranked most highly. Six strategies were identified. Underpinning values encompassed engagement with stakeholders, a life course view of preconception health, an integrated multi-sectorial approach and a need for large scale collaboration to implement interventions that deliver impact across health care, social care, policy and population health. Priority populations were considered within the social determinants of health. Health behaviors, medical history, weight, and reproductive health were ranked highly as PCC priorities. Key strategies to address priorities should be implemented with consideration of values that improve the preconception health of all Australians.
Competing Interests: None declared
(Thieme. All rights reserved.)
Competing Interests: None declared
(Thieme. All rights reserved.)