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转变产前护理模式:多学科团队科学改善了广泛的母婴结局。

Transforming prenatal care: Multidisciplinary team science improves a broad range of maternal-child outcomes.

机构信息

Department of Social and Behavioral Sciences.

Department of Obstetrics, Gynecology and Reproductive Sciences.

出版信息

Am Psychol. 2019 Apr;74(3):343-355. doi: 10.1037/amp0000435.

Abstract

Every 8 seconds a baby is born in the United States. Maternal and newborn care are the nation's most expensive clinical services, and despite spending more per capita on health services, the United States experiences worse perinatal outcomes than most other developed countries, and even worse than many developing countries when it comes to maternal and infant mortality, preterm birth, and other comorbid conditions. We established a transdisciplinary clinical research team nearly 2 decades ago to improve maternal and child health through an innovative approach to maternal care delivery: group prenatal care. Our team has included psychologists (social, health, clinical, community), physicians (obstetrics, maternal fetal medicine, pediatrics), nurse-midwives, epidemiologists, biostatisticians, sociologists, social workers, and others. Though we come from different disciplines, we share a commitment to women's health, to using empirical evidence to design the best interventions, to social justice and health equity, and to transdisciplinary team science. In authentic collaboration, we have drawn on the best of each discipline to meet the triple aim (enhanced quality, improved outcomes, lower costs) for maternal care and to develop a deeper understanding of risk and protective factors for pregnant women and their families. This article describes how we leveraged and integrated our diverse perspectives to achieve these goals, including the theoretical and clinical foundations underlying the development and evaluation of the group prenatal care approach, research methodology employed, impact on the field, and lessons learned. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

每 8 秒钟,美国就有一个婴儿出生。孕产妇和新生儿护理是美国最昂贵的临床服务,尽管人均卫生服务支出更高,但美国的围产期结局比大多数其他发达国家更差,孕产妇和婴儿死亡率、早产率以及其他合并症方面甚至比许多发展中国家更差。我们近 20 年前成立了一个跨学科临床研究团队,通过创新的孕产妇护理模式——小组产前护理来改善母婴健康。我们的团队包括心理学家(社会、健康、临床、社区)、医生(妇产科、母胎医学、儿科)、助产士、流行病学家、生物统计学家、社会学家、社会工作者等。尽管我们来自不同的学科,但我们都致力于妇女健康,致力于运用实证证据设计最佳干预措施,致力于社会正义和健康公平,以及致力于跨学科团队科学。在真正的合作中,我们借鉴了每个学科的优势,以实现孕产妇护理的三重目标(提高质量、改善结果、降低成本),并深入了解孕妇及其家庭的风险和保护因素。本文介绍了我们如何利用和整合我们的多元化视角来实现这些目标,包括小组产前护理方法的发展和评估所依据的理论和临床基础、所采用的研究方法、对该领域的影响以及所吸取的经验教训。(美国心理协会,2019)。

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