Strengthening the postpartum transition of care to address racial disparities in maternal health
Strengthening the postpartum transition of care to address racial disparities in maternal health
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DOI：
10.1016/j.jnma.2018.10.016
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发表时间：
2019-08-01
影响因子：
3.3
通讯作者：
Lasser, Karen E.
中科院分区：
文献类型：
--
作者：
Essien, Utibe R.;Molina, Rose L.;Lasser, Karen E.
产妇发病率和死亡率是国家和国际医疗保健质量的重要指标。在美国引起了越来越多的公众关注。在高收入国家中，美国的孕产妇死亡率最高：值得注意的是，自1990年以来，这一比率增加了一倍多。美国黑人妇女死于妊娠相关并发症的比率是白色妇女的三到四倍，这是妇女健康方面最广泛的种族差异之一。医疗并发症，包括心血管疾病和妊娠期高血压疾病。仍然是造成孕产妇结局差异的主要因素，包括与妊娠有关的死亡。然而，一个未充分探索的改善机会是未能从产科过渡到初级保健，这限制了优化产后健康。卫生系统办法、基于社区的干预措施和促进护理过渡的政策解决方案可能对消除孕产妇结果方面持续存在的差距至关重要。
Maternal morbidity and mortality, important indicators of healthcare quality both nationally and internationally. have gained increasing public attention in the United States (U.S.). The U.S. has the highest rate of maternal mortality among high-income countries: notably, this rate has more than doubled since 1990. Black women in the U.S. die at three to four times the rate of white women from pregnancy-related complications, one of the widest of all racial disparities in women's health. Medical complications, including cardiovascular disease and hypertensive disorders in pregnancy. remain leading contributors to disparities in maternal outcomes including pregnancy-related deaths. However, an under-explored opportunity for improvement is the failure to transition from obstetrical to primary care, which limits optimizing postpartum health. Health system approaches, community-based interventions, and policy solutions that facilitate transitions of care may be critical to eliminating persistent disparities in maternal outcomes.