Vedam Saraswathi, Zephyrin Laurie, Hardtman Pandora, Lusero Indra, Olson Rachel, Hassan Sonia S, van den Broek Nynke, Stoll Kathrin, Niles Paulomi, Goode Keisha, Nunally Lauren, Kandal Remi, Bair James W
Birth Place Lab, UBC Midwifery, Faculty of Medicine, University of British Columbia, 304-5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Health Care Delivery System Reform, The Commonwealth Fund, 1 East 75th Street, New York, NY, 10021, USA.
Matern Child Health J. 2022 Apr;26(4):674-681. doi: 10.1007/s10995-022-03419-0. Epub 2022 Mar 23.
Inequities in birth outcomes are linked to experiential and environmental exposures. There have been expanding and intersecting wicked problems of inequity, racism, and quality gaps in childbearing care during the pandemic. We describe how an intentional transdisciplinary process led to development of a novel knowledge exchange vehicle that can improve health equity in perinatal services. We introduce the Quality Perinatal Services Hub, an open access digital platform to disseminate evidence based guidance, enhance health systems accountability, and provide a two-way flow of information between communities and health systems on rights-based perinatal services. The QPS-Hub responds to both community and decision-makers' needs for information on respectful maternity care. The QPS-Hub is well poised to facilitate collaboration between policy makers, healthcare providers and patients, with particular focus on the needs of childbearing families in underserved and historically excluded communities.
出生结局的不平等与经历和环境暴露有关。在疫情期间,生育护理中不平等、种族主义和质量差距等棘手问题不断扩大且相互交织。我们描述了一个有目的的跨学科过程如何促成了一种新型知识交流工具的开发,该工具可改善围产期服务中的健康公平性。我们介绍了围产期优质服务中心,这是一个开放获取的数字平台,用于传播循证指南、加强卫生系统问责制,并在社区和卫生系统之间就基于权利的围产期服务提供双向信息流。围产期优质服务中心满足了社区和决策者对尊重产妇护理信息的需求。围产期优质服务中心非常适合促进政策制定者、医疗服务提供者和患者之间的合作,特别关注服务不足和历来被排斥社区中生育家庭的需求。