Exploring Prenatal Care Quality and Access During the COVID-19 Pandemic Among Pregnant Immigrants in Philadelphia Through the Lens of Community-Based Organizations.
Exploring Prenatal Care Quality and Access During the COVID-19 Pandemic Among Pregnant Immigrants in Philadelphia Through the Lens of Community-Based Organizations.
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DOI：
10.1089/whr.2022.0112
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发表时间：
2023
影响因子：
1.3
通讯作者：
Montoya-Williams, Diana
中科院分区：
文献类型：
--
作者：
Marshall, Deanna;Perez, Mikaela;Wang, Xi;Matone, Meredith;Montoya-Williams, Diana
关键词：
2019冠状病毒病疫情的高峰期导致孕产妇和儿童保健参与减少，特别是在边缘化人群中。怀孕的移民在产前护理机会和质量方面的现有差距可能因这一流行病而扩大。我们进行了一项研究，直接服务提供商（DSP）在社区为基础的组织（CBO）服务怀孕的移民家庭在费城地区。半结构化访谈探讨了2020年3月疫情爆发前后移民家庭获得产前保健和参与的障碍和促进因素。额外的问题引出了有关服务人群的人口统计学背景，组织与卫生保健提供者的联系，以及与流行病相关的业务变化。2021年6月至11月期间，在5个社区组织与DSP进行了10次英语和西班牙语访谈。主要主题包括由于语言可及性降低而导致获得护理的机会和质量下降、对支持人员的限制增加、转向远程医疗以及预约时间安排的变化。其他主题包括由于文件状态，法律的权利混乱，财务紧张和健康保险状况而对服务的犹豫不决。受访者提供了建议，以改善服务期间和大流行后的移民怀孕的人，包括实施文化上敏感的群体产前护理，机构政策，以提高对法律的权利的理解，并增加财政支持。了解COVID-19大流行期间产前护理获得和质量的紧急和加剧的障碍，为如何在大流行持续期间以及一旦消退后通过公共卫生和医疗保健政策改善移民孕妇的健康公平性提供了背景。
The peak of the COVID-19 pandemic led to decreased maternal and child health care engagement, especially among marginalized populations. Existing disparities in prenatal care access and quality faced by pregnant immigrant people are likely to be amplified by the pandemic. We conducted a study with direct service providers (DSPs) at community-based organizations (CBOs) serving pregnant immigrant families in the Philadelphia region. Semistructured interviews addressed barriers and facilitators to prenatal health care access and engagement among immigrant families both before and then after the onset of the pandemic in March 2020. Additional questions elicited context about the demographics of service populations, organizational connectedness to health care providers, and pandemic-related operational changes. Between June and November 2021, 10 interviews were conducted in English and Spanish with DSPs at 5 CBOs. Primary themes included diminished access and quality of care received due to decreased language accessibility, increased restrictions around support persons, shifts to telemedicine, and changes to appointment scheduling. Additional themes included heightened hesitancy engaging with services due to documentation status, confusion around legal rights, financial strain, and health insurance status. Interviewees provided suggestions for improving service access during and postpandemic for immigrant pregnant people, including implementation of culturally responsive group prenatal care, institutional policies to improve understanding of legal rights, and increased financial supports. Understanding emergent and exacerbated barriers to prenatal care access and quality during the COVID-19 pandemic provides context for how to improve health equity for immigrant pregnant people through public health and health care policies as the pandemic continues, and once it has subsided.
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影响因子：
3.8
作者：
Clark, Eva;Fredricks, Karla;Weatherhead, Jill
通讯作者：
Weatherhead, Jill
DOI：
10.1016/s2214-109x(21)00079-6
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
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作者：
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DOI：
10.1007/s11524-021-00584-5
发表时间：
2021-12
期刊：
Journal of urban health : bulletin of the New York Academy of Medicine
影响因子：
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作者：
Maru S;Glenn L;Belfon K;Birnie L;Brahmbhatt D;Hadler M;Janevic T;Reynolds S
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影响因子：
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影响因子：
5.4
作者：
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通讯作者：
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