Table 2_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：在新型冠状病毒肺炎（COVID-19）大流行期间，英国及全球范围内的产科护理服务均发生了大幅重构，这对护理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，深化我们对英国产科服务重构所产生影响的认知。
研究方法：检索Scopus、MEDLINE、EMBASE、CINAHL、PsycINFO以及Cochrane COVID研究注册库，筛选2021年6月1日至2023年9月30日期间以英语发表、针对英国地区且包含定性研究数据的相关文献。最终从15项研究中提取了关于疫情期间产科护理重构的医疗保健提供者体验的定性数据，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：其一为护理寻求与护理体验：现有护理模式的调整、对陪护者的限制、心理健康与支持网络缺失、重构策略成功落地的实施障碍；其二为虚拟护理：对护理质量的影响、便利性与灵活性提升、数字排斥问题；其三为产科护理服务的伦理未来：优化患者护理、以服务使用者与医护人员作为变革的核心驱动力。未发现涉及自我监测或新型冠状病毒肺炎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需进一步纳入陪护者参与、为产妇及分娩人群提供虚拟或线下护理的选择；同时未来政策制定需采用协同设计的服务模式。