Elena Fuentes-Afflick (
James M. Perrin is a professor of pediatrics at Harvard Medical School and holds the John C. Robinson Distinguished Chair in Pediatrics at MassGeneral Hospital for Children, both in Boston, Massachusetts.
Health Aff (Millwood). 2021 Feb;40(2):212-218. doi: 10.1377/hlthaff.2020.01504. Epub 2021 Jan 21.
The health and well-being of childbearing women and children in the US should set a world standard. However, women and children in the US experience higher rates of morbidity and mortality than women and children in almost all other industrialized countries, with marked racial and ethnic disparities. The unfolding effects of the coronavirus disease 2019 (COVID-19) pandemic have highlighted such disparities. In this article, which is part of the National Academy of Medicine's Vital Directions for Health and Health Care: Priorities for 2021 initiative, we draw on a life-course framework to highlight promising interventions and recommend key improvements in programs and policies to optimize health and well-being among women and children in the US. The recommendations address ensuring access, transforming health care, and addressing social and environmental determinants.
美国母婴的健康福祉应成为世界标准。然而,美国的母婴发病率和死亡率高于几乎所有其他工业化国家,而且存在显著的种族和民族差异。2019 年冠状病毒病(COVID-19)大流行的持续影响凸显了这些差异。在本文中,我们借鉴了生命历程框架,突出了有希望的干预措施,并为优化美国母婴健康和福祉提出了方案和政策方面的改进建议,这些建议涉及确保获得服务、改革医疗保健以及解决社会和环境决定因素等方面,这是美国国家医学院“卫生与保健的重要方向:2021 年优先事项”倡议的一部分。