加利福尼亚州多层次社会因素与新生儿重症监护病房护理质量。
Multilevel social factors and NICU quality of care in California.
机构信息
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
出版信息
J Perinatol. 2021 Mar;41(3):404-412. doi: 10.1038/s41372-020-0647-8. Epub 2020 Mar 10.
OBJECTIVE
Our objective was to incorporate social and built environment factors into a compendium of multilevel factors among a cohort of very low birth weight infants to understand their contributions to inequities in NICU quality of care and support providers and NICUs in addressing these inequities via development of a health equity dashboard.
STUDY DESIGN
We examined bivariate associations between NICU patient pool and NICU catchment area characteristics and NICU quality of care with data from a cohort of 15,901 infants from 119 NICUs in California, born 2008-2011.
RESULT
NICUs with higher proportion of minority racial/ethnic patients and lower SES patients had lower quality scores. NICUs with catchment areas of lower SES, higher composition of minority residents, and more household crowding had lower quality scores.
CONCLUSION
Multilevel social factors impact quality of care in the NICU. Their incorporation into a health equity dashboard can inform providers of their patients' potential resource needs.
目的
我们的目标是将社会和建筑环境因素纳入极低出生体重儿队列中的多层次因素纲要中，以了解它们对新生儿重症监护病房（NICU）质量和支持提供者的不平等的贡献，并通过开发一个健康公平仪表板来解决这些不平等问题。
研究设计
我们通过加利福尼亚州 119 个 NICU 中 15901 名婴儿的队列数据，检查了 NICU 患者群体和 NICU 集水区特征与 NICU 护理质量之间的双变量关联。
结果
少数种族/族裔患者比例和社会经济地位较低的患者比例较高的 NICU 质量评分较低。集水区社会经济地位较低、少数民族居民构成比例较高、家庭拥挤程度较高的 NICU 质量评分较低。
结论
多层次的社会因素影响 NICU 的护理质量。将其纳入健康公平仪表板可以为提供者提供其患者潜在资源需求的信息。
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