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消除围产期发病率和死亡率差异的质量改进方法。

Quality Improvement Approach to Eliminate Disparities in Perinatal Morbidity and Mortality.

机构信息

Institute for Perinatal Quality Improvement, 255 East Lombard Street, #252, Baltimore, MD 21202, USA; University of Maryland School of Nursing, 344 West Lombard Street, #462A, Baltimore, MD 21201, USA.

Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.

出版信息

Obstet Gynecol Clin North Am. 2019 Jun;46(2):227-238. doi: 10.1016/j.ogc.2019.01.006.

Abstract

"Preventable disparities in health outcomes for women during the perinatal period are unacceptable. To successfully combat these inequities, it is important to identify their causes and use quality improvement approaches to eliminate them. Proposed are 5 quality and safety strategies to guide efforts to eliminate disparities and ensure equitable health care for all women and newborns: (1) apply a systems approach based on the Socio-Ecological Model, (2) identify root causes of disparities, (3) identify and eliminate strong but wrong routines, (4) use improvement and implementation science methods and tools, and (5) use data to guide the plan and track progress."

摘要

在围产期,可预防的女性健康结果差异是不可接受的。为了成功应对这些不平等,确定其原因并使用质量改进方法消除这些不平等非常重要。提出了 5 种质量和安全策略,以指导努力消除差异,确保所有妇女和新生儿获得公平的医疗保健:(1)基于社会生态模型应用系统方法,(2)确定差异的根本原因,(3)识别和消除强大但错误的常规做法,(4)使用改进和实施科学方法和工具,以及(5)使用数据指导计划并跟踪进度。

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