Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle

被引:20
|
作者
Howell, Elizabeth A. [1 ]
Brown, Haywood [2 ]
Brumley, Jessica [3 ]
Bryant, Allison S. [4 ]
Caughey, Aaron B. [5 ]
Cornell, Andria M. [6 ]
Grant, Jacqueline H. [7 ]
Gregory, Kimberly D. [8 ,9 ]
Gullo, Susan M. [10 ]
Kozhimannil, Katy B. [11 ]
Mhyre, Jill M. [12 ]
Toledo, Paloma [13 ]
D'Oria, Robyn [14 ]
Ngoh, Martha [15 ]
Grobman, William A. [13 ]
机构
[1] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
[2] Duke Univ, Sch Med, Durham, NC USA
[3] Univ S Florida, Morsani Coll Med, Tampa, FL USA
[4] Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA USA
[5] Oregon Hlth & Sci Univ, Sch Med, Portland, OR 97201 USA
[6] Assoc Maternal & Child Hlth Programs, Washington, DC USA
[7] Univ North Carolina Chapel Hill, Chapel Hill, NC USA
[8] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[9] Burns Allen Res Ctr, Los Angeles, CA USA
[10] Assoc Womens Hlth Obstet & Neonatal Nurses, Washington, DC USA
[11] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN USA
[12] Univ Arkansas Med Sci, Little Rock, AR 72205 USA
[13] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
[14] Cent Jersey Family Hlth Consortium, Tinton Falls, NJ USA
[15] Amer Coll Obstetricians & Gynecologists, 409 12th St SW, Washington, DC 20024 USA
关键词
health disparities; antepartum care; American College of Nurse-Midwives; HEALTH-CARE; IMPLICIT BIAS; DECISION-MAKING; PATIENT COMMUNICATION; EMERGENCY-DEPARTMENT; PRECONCEPTION CARE; POPULATION HEALTH; ADVANCING HEALTH; PREGNANT-WOMEN; MEDICAL-RECORD;
D O I
10.1111/jmwh.12756
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Racial and ethnic disparities exist in both perinatal outcomes and health care quality. For example, black women are 3 to 4 times more likely to die from pregnancy-related causes and have more than a 2-fold greater risk of severe maternal morbidity than white women. In an effort to achieve health equity in maternal morbidity and mortality, a multidisciplinary workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women's Health Care, developed a concept article for the bundle on reduction of peripartum disparities. We aimed to provide health care providers and health systems with insight into racial and ethnic disparities in maternal outcomes, the etiologies that are modifiable within a health care system, and resources that can be used to address these etiologies and achieve the desired end of safe and equitable health care for all childbearing women.
引用
收藏
页码:366 / 376
页数:11
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