Howell Elizabeth A, Zeitlin Jennifer
Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA; Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Biostatistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Maternité Port Royal, 53 avenue de l'Observatoire, Paris 75014, France.
Obstet Gynecol Clin North Am. 2017 Mar;44(1):13-25. doi: 10.1016/j.ogc.2016.10.002.
Growing attention is being paid to obstetric quality of care as patients are pressing the health care system to measure and improve quality. There is also an increasing recognition of persistent racial and ethnic disparities prevalent in obstetric outcomes. Yet few studies have linked obstetric quality of care with racial and ethnic disparities. This article reviews definitions of quality of care, health disparities, and health equity as they relate to obstetric care and outcomes; describes current efforts and challenges in obstetric quality measurement; and proposes 3 steps in an effort to develop, track, and improve quality and reduce disparities in obstetrics.
随着患者要求医疗保健系统衡量并提高医疗质量，产科护理质量正日益受到关注。人们也越来越认识到产科结局中普遍存在的持续的种族和民族差异。然而，很少有研究将产科护理质量与种族和民族差异联系起来。本文回顾了与产科护理和结局相关的护理质量、健康差异和健康公平的定义；描述了产科质量衡量方面的当前努力和挑战；并提出了三个步骤，以努力发展、跟踪和提高产科质量并减少差异。
