Blavatnik Family Women's Health Research Institute, the Office of Science and Research Sponsored Program Administration, New York University Grossman School of Medicine, and the New York Academy of Medicine, Columbia University Mailman School of Public Health, New York, New York; and the Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Leonard David Institute of Health Economics, Philadelphia, Pennsylvania.
Obstet Gynecol. 2023 Mar 1;141(3):467-472. doi: 10.1097/AOG.0000000000005067. Epub 2023 Feb 2.
To address the national crisis of maternal and infant health disparities, especially outcomes experienced by Black and Latina women and birthing people, The New York Academy of Medicine, the Icahn School of Medicine at Mount Sinai, the Blavatnik Family Women's Health Research Institute, and the University of Pennsylvania Health System and Perelman School of Medicine hosted the Maternal and Child Health Equity Summit. The primary purpose of the summit was to disseminate findings to a national audience of two National Institutes of Health-funded mixed-methods studies that investigated the contribution of hospital quality to disparities in maternal and infant Health in New York City (R01MD007651 and R01HD078565). In addition, the summit showcased factors in maternal and infant health inequity from leading diverse experts in both fields and identified outstanding challenges to reducing maternal and infant morbidity and mortality disparities and strategies to address them. Summit presenters and participants identified five primary areas of focus in proposed clinical actions and approaches for maternal and neonatal health care based on discussions during the summit: 1) quality and standardization of care; 2) adjustment of care strategy based on patient-reported experience; 3) health care professional and institutional accountability to patients; 4) commitment to building trust; and 5) anti-racism practices in education, training, and hiring. Recommendations from this conference should inform hospital care and public policy changes and frame a national agenda to address perinatal health disparities for Black, Indigenous, and other women and birthing people of color.
为了解决母婴健康差距的国家危机，特别是黑人和拉丁裔妇女和分娩者所经历的结果，纽约医学院、西奈山伊坎医学院、布拉瓦特尼克家族妇女健康研究所以及宾夕法尼亚大学卫生系统和佩雷尔曼医学院举办了母婴健康公平峰会。峰会的主要目的是向全国观众传播两项由美国国立卫生研究院资助的混合方法研究的发现，这些研究调查了医院质量对纽约市母婴健康差距的贡献（R01MD007651 和 R01HD078565）。此外，峰会展示了来自两个领域的领先多元化专家在母婴健康不平等方面的因素，并确定了减少母婴发病率和死亡率差距以及解决这些差距的策略所面临的突出挑战。峰会的演讲者和参与者根据峰会期间的讨论，确定了母婴保健领域的五个主要重点领域，提出了临床行动和方法建议：1）护理质量和标准化；2）根据患者报告的体验调整护理策略；3）医疗保健专业人员和医疗机构对患者的责任；4）致力于建立信任；5）在教育、培训和招聘中开展反种族主义实践。本次会议的建议应告知医院护理和公共政策的变化，并为解决黑人、原住民和其他有色人种妇女和分娩者的围产期健康差距制定国家议程。
