安全开端社区健康工作者计划：改善低收入有慢性健康状况孕妇围产期结局的多部门合作。
Safe Start Community Health Worker Program: A Multisector Partnership to Improve Perinatal Outcomes Among Low-Income Pregnant Women With Chronic Health Conditions.
机构信息
Shayna D. Cunningham is with the Yale School of Public Health, New Haven, CT. Valerie Riis, Melissa Bucher, Celeste Durnwald, and Sindhu K. Srinivas are with the University of Pennsylvania Perelman School of Medicine, Philadelphia. Laura Line and Melissa Patti are with Maternity Care Coalition, Philadelphia, PA.
出版信息
Am J Public Health. 2020 Jun;110(6):836-839. doi: 10.2105/AJPH.2020.305630. Epub 2020 Apr 16.
Abstract
Safe Start is a community health worker program representing a partnership between a high-volume, inner-city, hospital-based prenatal clinic; a community-based organization; a large Medicaid insurer; and a community behavioral health organization to improve perinatal outcomes among publicly insured pregnant women with chronic health conditions in Philadelphia, Pennsylvania. As of June 2019, 291 women participated in the program. Relative to a comparison group (n = 300), Safe Start participants demonstrate improved engagement in care, reduced antenatal inpatient admissions, and shorter neonatal intensive care unit stays.
摘要
Safe Start 是一个社区卫生工作者项目，代表了一家高容量的、位于市中心的、基于医院的产前诊所；一个社区组织；一家大型医疗补助保险公司；以及一家社区行为健康组织之间的合作，旨在改善宾夕法尼亚州费城有慢性健康问题的公共保险孕妇的围产期结局。截至 2019 年 6 月，已有 291 名妇女参加了该项目。与对照组（n=300）相比，Safe Start 参与者表现出改善的护理参与度、减少的产前住院入院率和更短的新生儿重症监护病房住院时间。
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