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

被引：69

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. ^{[16
]}

机构：

[1] Icahn Sch Med Mt Sinai, Director Womens Hlth Res Inst, 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 N Carolina, Chapel Hill, NC USA

[8] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[9] Burns Allen Res Ctr, Los Angeles, CA 90048 USA

[10] Susan Gullo Consulting, Boston, MA USA

[11] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN USA

[12] Univ Arkansas Med Sci, Little Rock, AK USA

[13] Northwestern Univ, Feinberg Sch Med, Chicago, IL USA

[14] Cent Jersey Family Hlth Consortium, Tinton Falls, NJ USA

[15] Amer Coll Obstetricians & Gynecologists, Washington, DC USA

[16] Northwestern Univ, Feinberg Sch Med, Chicago, IL USA

来源：

JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING | 2018年 / 47卷 / 03期

关键词：

HEALTH-CARE; IMPLICIT BIAS; DECISION-MAKING; PATIENT COMMUNICATION; EMERGENCY-DEPARTMENT; PRECONCEPTION CARE; POPULATION HEALTH; ADVANCING HEALTH; PREGNANT-WOMEN; MEDICAL-RECORD;

D O I：

10.1016/j.jogn.2018.03.004

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 three to four times more likely to die from pregnancy-related causes and have more than a twofold 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

页码：275 / 289

页数：15

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