Bridging the postpartum gap: best practices for training of obstetrical patient navigators.
Bridging the postpartum gap: best practices for training of obstetrical patient navigators.
复制标题
弥合产后差距：培训产科病人导航员的最佳做法。
DOI：
10.1016/j.ajog.2021.03.038
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发表时间：
2021-08
影响因子：
9.8
通讯作者：
Grobman WA
中科院分区：
文献类型：
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作者：
Yee LM;Williams B;Green HM;Carmona-Barrera V;Diaz L;Davis K;Kominiarek MA;Feinglass J;Zera CA;Grobman WA
The postpartum period represents a critical window of opportunity to improve maternal short- and long-term health, including optimizing postpartum recovery, providing effective contraception, caring for mood disorders, managing weight, supporting lactation, initiating preventive care, and promoting cardiometabolic health. However, inadequate postpartum care, especially for individuals facing social and structural barriers, is common in the United States and contributes to suboptimal health outcomes with lasting consequences. Patient navigation is a patient-centered intervention that uses trained personnel to identify financial, cultural, logistical, and educational obstacles to effective health care, and to mitigate these barriers in order to facilitate comprehensive and timely access to needed health services. Given emerging evidence suggesting patient navigation may be a promising method to improve health among postpartum individuals, our team developed a postpartum patient navigator training guide to be used in the Navigating New Motherhood 2 (NNM2) and other obstetric navigation programs. NNM2 is a randomized trial exploring whether patient navigation by a trained, lay postpartum navigator for low-income individuals can improve health and patient-reported outcomes during and after the postpartum period. Hiring and training patient navigators without health professional degrees are integral components of initiating a navigation program. Yet, patient navigator training is highly variable, and no guidelines regarding key elements in such a training program exist for obstetrics specifically. Thus, this paper aims to describe the core principles, content, and rationale for each element in a comprehensive postpartum patient navigator training program. Training should be centered around six core elements: 1) principles of patient navigation, 2) knowledge of pregnancy and postpartum care, 3) health education and health promotion principles, 4) cultural sensitivity and health equity, 5) care coordination and community resources, and 6) electronic medical record systems. These core elements can serve as a basis for the development of adaptable curricula for a variety of institutions and contexts. We also offer recommendations for the implementation of a navigator training program. A curriculum such as this, with built-in flexibility to meet community and institutional needs, may promote the effective and sustainable use of patient navigation in the postpartum context. We describe core principles and training practices to equip postpartum patient navigators with the skillset to guide patients through the postpartum period.
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影响因子：
5.7
作者：
Bennett, Wendy L.;Chang, Hsien-Yen;Clark, Jeanne M.
通讯作者：
Clark, Jeanne M.
影响因子：
3.5
作者：
Bennett, Wendy L.;Ennen, Christopher S.;Clark, Jeanne M.
通讯作者：
Clark, Jeanne M.
影响因子：
5.5
作者：
DeGroff, Amy;Schroy, Paul C., III;Joseph, Djenaba
通讯作者：
Joseph, Djenaba
影响因子：
7.2
作者：
通讯作者：
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影响因子：
7.2
作者：
通讯作者：
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