Table 4_Healthcare providers’ experiences of maternity care service delivery during the COVID-19 pandemic in the United Kingdom: a follow-up systematic review and qualitative evidence synthesis.docx

Problem and backgroundDuring the COVID-19 pandemic, there was substantial reconfiguration of maternity care services, affecting both users and healthcare providers (HCPs), in the United Kingdom (UK) and globally.
AimTo further our understanding of the impact of maternity service reconfigurations in the UK, from the perspective of maternity HCPs.
MethodsScopus, MEDLINE, EMBASE, CINAHL, PsycINFO and the Cochrane COVID Study Register were searched for relevant studies reporting qualitative data from the UK, published in English between 01 June 2021 and 30 September 2023. Qualitative data on HCPs’ experiences of maternity care reconfiguration during the pandemic were extracted from 15 studies. Data were subjected to thematic synthesis according to key service reconfigurations.
ResultsNine themes were identified: Care-seeking and Care Experience: Changes to existing care, Limitations placed on the partner, Mental health and lack of support networks, and Barriers to successful implementation of reconfiguration strategies; Virtual Care: Impact on quality of care, Increased convenience and flexibility, and Digital exclusion; and Ethical Future of Maternity Care Services: Optimising patient care, and Service users and staff as the driving force for change. No studies reported on the concepts of Self-monitoring or COVID-19 vaccination.
Discussion and conclusionThe review findings highlight HCPs’ views of the need for greater inclusion of partners, choice of virtual or in-person care for women and birthing people; and a need for co-designed services for future policy-making.

问题与背景 新冠疫情大流行期间，英国（UK）乃至全球范围内的产科护理服务均经历了大规模重构，此举对服务使用者与医疗保健提供者（Healthcare Providers, HCPs）均产生了影响。
研究目的 从产科医疗保健提供者的视角出发，进一步深化对英国产科服务重构所产生影响的认知。
研究方法 检索了Scopus、MEDLINE、EMBASE、CINAHL、PsycINFO以及Cochrane COVID研究注册库，筛选出2021年6月1日至2023年9月30日期间以英语发表、来自英国的相关定性研究。从15项研究中提取了关于疫情期间医疗保健提供者参与产科护理重构经历的定性数据，并依据核心服务重构维度开展主题综合分析。
研究结果 共识别出9个主题：一、就医与照护体验：现有照护模式的调整、对陪护人员的限制、心理健康状况与支持网络缺失、重构策略落地实施的障碍；二、虚拟照护：对照护质量的影响、便利性与灵活性提升、数字排斥问题；三、产科护理服务的伦理展望：优化患者照护、以服务使用者与医护人员作为变革的核心驱动力。未检索到涉及自我监测或新冠疫苗接种相关概念的研究。
讨论与结论 本综述结果表明，医疗保健提供者认为未来需进一步保障陪护人员的参与权利，为产妇及分娩人群提供虚拟或线下照护的选择；同时在未来政策制定中，需推动多方协同设计的服务方案。