Mental disorders in the perinatal period (PMD) can severely harm women and their children if not detected early and treated appropriately. Even though mental health care is covered by health insurance and is used widely by women in the perinatal period in Switzerland, it is not known if the care provided is meeting the needs of the patients and is efficient in the view of health care professionals. The aim of this study is to identify strengths, gaps and requirements for adequate mental health care in the perinatal period from the perspectives of patients and care providers for a wide range of relevant mental disorders. In the qualitative study we conduct (1) semi-structured single interviews with former PMD patients to obtain narratives about their experiences and needs for health care for their condition. Women are included who have been treated for PMD but are mentally stable at the time of the interview (n = 24). We will stratify the sample by 4 clusters of relevant ICD-10 F-diagnoses, covering the most frequent and the most severe mental disorders. We will further stratify the sample based on whether the women already had experience with psychiatric or psychological health care or not before their last episode of PMD. We will also conduct (2) three interprofessional focus groups with health and social care professionals involved in perinatal care, and a health insurance representative. The focus groups will consist of 5–8 professionals. Data collection and thematic analysis will consider Levesque’s et al. (2013) conceptual model on access to health care. The study will provide fundamental data on the experiences and perspectives about perinatal mental health care from user and provider perspectives. The study will generate the evidence base needed to develop models of integrated, coordinated, patient- and family-centred care that is accessed by women with various types of PMD. The study was registered on ClinicalTrials.gov in November 2019 under the identifier NCT04185896.

中文翻译：

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从使用者和提供者的角度来看围产期精神卫生保健：瑞士定性研究的方案

如果不及早发现并进行适当治疗，围产期（PMD）的精神障碍会严重伤害妇女及其子女。尽管精神保健服务由健康保险所涵盖，并且在瑞士围产期妇女广泛使用，但尚不清楚所提供的保健服务是否能满足患者的需求，并且在保健专业人员看来是有效的。这项研究的目的是从患者和医护人员的角度，针对广泛的相关精神障碍，确定围产期适当精神保健的优势，差距和要求。在定性研究中，我们对前PMD患者进行（1）半结构化的单次访谈，以获取有关其经历和对病情保健需求的叙述。包括接受过PMD治疗但在面试时精神稳定的女性（n = 24）。我们将通过4组相关的ICD-10 F诊断来对样本进行分层，涵盖最常见和最严重的精神障碍。我们将根据女性在上一次PMD发作之前是否已经接受过精神病或心理保健的经验，进一步对样本进行分层。我们还将与参与围产期保健的卫生和社会保健专业人员以及一名健康保险代表进行（2）三个跨行业的焦点小组讨论。焦点小组将由5-8名专业人员组成。数据收集和主题分析将考虑Levesque等人。（2013年）关于获得卫生保健的概念模型。这项研究将从用户和提供者的角度提供有关围产期精神卫生保健的经验和观点的基础数据。这项研究将为建立综合，协调，以患者和家庭为中心的护理模型提供必要的证据基础，患有各种PMD的妇女可以使用该模型。该研究于2019年11月在ClinicalTrials.gov上注册，标识为NCT04185896。