Grinstead Molly, Henderson Zsakeba, Mack Jessica, McGovern Beth, Schmidt Elena, DeMaria Andrea L, Mishkin Kathryn
Nurs Womens Health. 2025 Apr;29(2):129-135. doi: 10.1016/j.nwh.2024.10.003. Epub 2025 Feb 11.
In March 2021, the March of Dimes, U.S. Department of Health and Human Services, and Reproductive Health Impact convened a group of leading maternal health experts to offer guidance and ensure accountability for the design and implementation of the Maternal HealthCARE project, a quality improvement (QI) collaborative to address racial equity and the disparity gap in maternal health outcomes. The Black Maternal Health Stakeholder Group (BMHSG) provided recommendations and insights that served as the foundation of the QI project. From the BMHSG meeting, four themes emerged, which highlighted the underlying causes of maternal health disparities: racism, lack of accountability, poor data transparency, and inadequate patient-centered care. The BMHSG's recommendations provide actionable ways for hospitals to drive change and advance equity within their organizations. These insights offer a roadmap for QI work that places the experience and expertise of Black maternal health experts at the forefront, offering a promising way for hospitals to dismantle systemic and institutional racism in maternity care.
2021年3月，美国卫生与公众服务部的“早产基金会”（March of Dimes）以及生殖健康影响组织召集了一批顶尖的孕产妇健康专家，为“孕产妇医疗保健”项目的设计和实施提供指导并确保问责。该项目是一项质量改进合作项目，旨在解决种族公平问题以及孕产妇健康结果方面的差距。黑人孕产妇健康利益相关者小组（BMHSG）提供了建议和见解，这些建议和见解成为了该质量改进项目的基础。从BMHSG会议中，出现了四个主题，这些主题突出了孕产妇健康差距的根本原因：种族主义、缺乏问责制、数据透明度差以及以患者为中心的护理不足。BMHSG的建议为医院推动变革和在其组织内促进公平提供了可采取行动的方法。这些见解为质量改进工作提供了一个路线图，将黑人孕产妇健康专家的经验和专业知识置于前沿，为医院消除产科护理中的系统性和制度性种族主义提供了一条充满希望的途径。
