University of Mississippi Medical Center.
University of Mississippi Medical Center, Director, Mississippi Perinatal Quality Collaborative Mississippi State Department of Health Jackson, MS, USA.
Curr Opin Anaesthesiol. 2022 Jun 1;35(3):299-305. doi: 10.1097/ACO.0000000000001143.
The purpose of this review is to discuss how state perinatal quality collaboratives are addressing birth equity to reduce disparities in maternal morbidity and mortality.
Perinatal quality collaboratives are adopting core practices to advance birth equity, reduce disparities and confront racism and bias in obstetric care including securing leadership commitments to equity, providing education on the causes of inequities and mitigation strategies, collecting accurate race/ethnicity data, addressing social determinants of health, and integrating patient and community knowledge, experiences, and narratives in the quality improvement work.
Inequities in maternal morbidity and mortality particularly affecting Black birthing people are driven by racism, inequities in the social determinants of health, and variations in care practices and quality. Perinatal quality collaboratives are an important resource for driving improvement changes to mitigate these factors and improve outcomes.
Mason CL, Collier CH, Penny SC. Perinatal Quality Collaboratives and Birth Equity. Produced by CLMB Productions for use in this publication. January 10, 2022, http://links.lww.com/COAN/A86.
本文旨在探讨州围产期质量协作组织如何解决生育公平问题,以减少孕产妇发病率和死亡率方面的差异。
围产期质量协作组织正在采用核心实践来推进生育公平,减少差异,并应对产科护理中的种族主义和偏见,包括确保领导层对公平的承诺、提供关于不公平和缓解策略原因的教育、收集准确的种族/族裔数据、解决健康的社会决定因素,以及将患者和社区的知识、经验和叙述纳入质量改进工作。
孕产妇发病率和死亡率方面的不平等,特别是影响黑人产妇的不平等,是由种族主义、健康的社会决定因素不平等以及护理实践和质量的差异驱动的。围产期质量协作组织是推动改善变化以减轻这些因素并改善结果的重要资源。
Mason CL、Collier CH、Penny SC。围产期质量协作组织和生育公平。CLMB Productions 制作,用于本出版物。2022 年 1 月 10 日,http://links.lww.com/COAN/A86。