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运用积极偏差解决产科质量与安全方面的健康公平问题。

Positive Deviance to Address Health Equity in Quality and Safety in Obstetrics.

作者信息

Howell Elizabeth A, Ahmed Zainab N, Sofaer Shoshanna, Zeitlin Jennifer

机构信息

Blavatnik Family Women's Health Research Institute.

Departments of Population Health Science & Policy.

出版信息

Clin Obstet Gynecol. 2019 Sep;62(3):560-571. doi: 10.1097/GRF.0000000000000472.

DOI:10.1097/GRF.0000000000000472
PMID:31206366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6988184/
Abstract

Racial/ethnic disparities persist in obstetrical outcomes. In this paper, we ask how research in obstetrical quality can go beyond a purely quantitative approach to tackle the challenge of health inequity in quality and safety. This overview debriefs the use of positive deviance and mixed methods in others areas of medicine, describes the shortcomings of quantitative methods in obstetrics and presents qualitative studies carried out in obstetrics as well as the insights provided by this method. The article concludes by proposing positive deviance as a mixed methods approach to generate new knowledge for addressing racial and ethnic disparities in maternal outcomes.

摘要

产科结局中的种族/民族差异依然存在。在本文中，我们探讨产科质量研究如何能够超越单纯的定量方法，以应对质量和安全方面的健康不平等挑战。本综述总结了积极偏差和混合方法在其他医学领域的应用，描述了产科定量方法的缺点，并介绍了产科领域开展的定性研究以及该方法所提供的见解。文章最后提出将积极偏差作为一种混合方法，以产生新知识来解决孕产妇结局中的种族和民族差异问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6363/6988184/987ada1583a0/nihms-1067107-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6363/6988184/94f1d4354d3c/nihms-1067107-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6363/6988184/987ada1583a0/nihms-1067107-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6363/6988184/94f1d4354d3c/nihms-1067107-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6363/6988184/987ada1583a0/nihms-1067107-f0002.jpg

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Health Care Spending in the United States and Other High-Income Countries.
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