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跨学科想象力:解决围产期护理中的公平性和虐待问题。

Transdisciplinary Imagination: Addressing Equity and Mistreatment in Perinatal Care.

作者信息

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

机构信息

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.

出版信息

Matern Child Health J. 2022 Apr;26(4):674-681. doi: 10.1007/s10995-022-03419-0. Epub 2022 Mar 23.

DOI:10.1007/s10995-022-03419-0
PMID:35320452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8940589/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d99/8940589/6ded7ceef5d7/10995_2022_3419_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d99/8940589/6ded7ceef5d7/10995_2022_3419_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d99/8940589/6ded7ceef5d7/10995_2022_3419_Fig1_HTML.jpg

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Women Birth. 2022 Jul;35(4):378-386. doi: 10.1016/j.wombi.2021.09.003. Epub 2021 Sep 10.
2
Social and Structural Determinants of Health Inequities in Maternal Health.孕产妇健康不平等的社会和结构决定因素。
J Womens Health (Larchmt). 2021 Feb;30(2):230-235. doi: 10.1089/jwh.2020.8882. Epub 2020 Nov 12.
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Trustworthiness before Trust - Covid-19 Vaccine Trials and the Black Community.
信任之前的可信度——新冠疫苗试验与黑人社区
N Engl J Med. 2020 Nov 26;383(22):e121. doi: 10.1056/NEJMp2030033. Epub 2020 Oct 16.
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Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care.英国 2019 冠状病毒病大流行期间的产科服务:对标准护理进行修改的全国调查。
BJOG. 2021 Apr;128(5):880-889. doi: 10.1111/1471-0528.16547. Epub 2020 Nov 5.
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Respectful maternity care in the context of COVID-19: A human rights perspective.COVID-19背景下的尊重孕产妇保健:人权视角
Int J Gynaecol Obstet. 2020 Dec;151(3):319-321. doi: 10.1002/ijgo.13376. Epub 2020 Oct 5.
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Anxiety and depression scores in maternity healthcare workers during the Covid-19 pandemic.新冠疫情期间孕产妇医护人员的焦虑和抑郁评分
Int J Gynaecol Obstet. 2020 Nov;151(2):297-298. doi: 10.1002/ijgo.13279. Epub 2020 Aug 25.
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Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic.来自一线的声音:对全球范围内面临 COVID-19 大流行的孕产妇和新生儿健康专业人员进行的快速在线全球调查的主题分析结果。
BMJ Glob Health. 2020 Jun;5(6). doi: 10.1136/bmjgh-2020-002967.
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Impact of COVID-19 on reproductive health and maternity services in low resource countries.2019冠状病毒病对资源匮乏国家生殖健康及孕产妇服务的影响。
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The care of pregnant women during the COVID-19 pandemic - response of a large health system in metropolitan New York.COVID-19 大流行期间对孕妇的护理 - 纽约大都市区大型卫生系统的应对措施。
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