Northwestern University, Feinberg School of Medicine, Center for Healthcare Services and Outcomes Research-Institute for Public Health and Medicine, 633N. St. Clair, 20th Fl, Chicago, IL 60611, United States; University of Chicago, Pritzker School of Medicine, Obstetrics and Gynecology, 5841 S. Maryland Avenue Chicago, IL 60637, United States; NorthShore University HealthSystem (now Endeavor Health), Maternal-Fetal-Medicine, 2650 Ridge Avenue, Evanston, IL 60201, United States.
Northwestern University, Feinberg School of Medicine, Center for Healthcare Services and Outcomes Research-Institute for Public Health and Medicine, 633N. St. Clair, 20th Fl, Chicago, IL 60611, United States.
Semin Perinatol. 2024 Apr;48(3):151908. doi: 10.1053/j.semperi.2024.151908. Epub 2024 Apr 18.
There are unacceptable racial inequities in perinatal outcomes in the United States. Social determinants of health (SDOH) are associated with health outcomes and contribute to disparities in maternal and newborn health. In this article, we (1) review the literature on SDOH improvement in the perinatal space, (2) describe the SDOH work facilitated by the Illinois Perinatal Quality Collaborative (ILPQC) in the Birth Equity quality improvement initiative, (3) detail a hospital's experience with implementing strategies to improve SDOH screening and linkage to needed resources and services and (4) outline a framework for success for addressing SDOH locally. A state-based quality improvement initiative can facilitate implementation of strategies to increase screening for SDOH. Engaging patients and communities with specific actionable strategies is key to increase linkage to needed SDOH resources and services.
美国的围产期结局存在不可接受的种族不平等现象。健康的社会决定因素（SDOH）与健康结果相关，并导致母婴健康方面的差异。在本文中，我们（1）回顾了围产期空间中 SDOH 改善的文献，（2）描述了伊利诺伊州围产期质量协作组织（ILPQC）在生育公平质量改进倡议中促进的 SDOH 工作，（3）详细介绍了一家医院实施策略的经验，以改善 SDOH 筛查并将其与所需资源和服务联系起来，以及（4）概述了一个解决当地 SDOH 的成功框架。基于州的质量改进倡议可以促进实施增加 SDOH 筛查的策略。通过具体的可操作策略让患者和社区参与进来，是增加与所需 SDOH 资源和服务联系的关键。
