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减少围产期种族和民族差异:一个概念框架和孕产妇安全共识方案

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

作者信息

Howell Elizabeth A, Brown Haywood, Brumley Jessica, Bryant Allison S, Caughey Aaron B, Cornell Andria M, Grant Jacqueline H, Gregory Kimberly D, Gullo Susan M, Kozhimannil Katy B, Mhyre Jill M, Toledo Paloma, D'Oria Robyn, Ngoh Martha, Grobman William A

出版信息

J Obstet Gynecol Neonatal Nurs. 2018 May;47(3):275-289. doi: 10.1016/j.jogn.2018.03.004. Epub 2018 Apr 24.

Abstract

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.

摘要

围产期结局和医疗质量方面存在种族和族裔差异。例如,黑人女性因妊娠相关原因死亡的可能性是白人女性的三到四倍,严重孕产妇发病率的风险也比白人女性高出两倍多。为了在孕产妇发病率和死亡率方面实现健康公平,妇女保健患者安全理事会下属的国家孕产妇安全伙伴关系多学科工作组编写了一篇关于减少围产期差异综合措施的概念文章。我们旨在为医疗服务提供者和医疗系统提供见解,了解孕产妇结局方面的种族和族裔差异、医疗系统内可改变的病因,以及可用于解决这些病因并实现为所有育龄妇女提供安全和公平医疗这一预期目标的资源。

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