Departments of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, and Massachusetts General Hospital, Brigham and Women's Hospital, and Tufts Medical Center, Tufts University School of Medicine, Boston, and UMass Memorial Medical Center, UMass Medical School, Worcester, Massachusetts.
Obstet Gynecol. 2021 Dec 1;138(6):918-923. doi: 10.1097/AOG.0000000000004575.
Maternal mortality and morbidity continue to occur at unacceptably high levels in the United States, with communities of color experiencing significantly higher rates than their White counterparts, even after adjustment for confounding factors such as socioeconomic status. Many obstetrics and gynecology departments across the country have begun to incorporate routine discussion and analysis of health equity into peer review and educational processes, including grand rounds and morbidity and mortality conferences. Despite the desire and drive, there is little published guidance on best practices for incorporation of an equity component into these conferences. This document outlines the current processes at four academic institutions to highlight the variety of ways in which health equity and social justice can be incorporated when analyzing patient experiences and health outcomes. This commentary also provides a list of specific recommendations based on the combined experiences at these institutions so that others across the country can incorporate principles of health equity into their peer-review processes.
在美国，孕产妇死亡率和发病率仍然居高不下，有色人种社区的发病率明显高于其白人同龄人，即使在调整了社会经济地位等混杂因素后也是如此。美国许多妇产科部门已经开始将健康公平问题的常规讨论和分析纳入同行评审和教育过程，包括大查房、发病率和死亡率会议。尽管有愿望和动力，但很少有关于将公平因素纳入这些会议的最佳实践的出版指南。本文档概述了四家学术机构的当前流程，以突出在分析患者经历和健康结果时纳入公平和社会正义因素的各种方法。本评论还根据这些机构的综合经验提供了一份具体建议清单，以便美国其他地区能够将公平原则纳入其同行评审过程。
