Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle
Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle
复制标题
DOI：
10.1016/j.jogn.2018.03.004
复制
发表时间：
2018-05-01
影响因子：
1.8
通讯作者：
Grobman, William A.
中科院分区：
文献类型：
--
作者：
Howell, Elizabeth A.;Brown, Haywood;Grobman, William A.
在围产期结局和保健质量方面都存在种族和民族差异。例如，黑人妇女死于与怀孕有关的原因的可能性是白色妇女的三至四倍，严重孕产妇发病率的风险是白人妇女的两倍多。为了在产妇发病率和死亡率方面实现保健公平，全国产妇安全伙伴关系的一个多学科小组在妇女保健中的病人安全理事会内为减少围产期差异的一揽子方案编写了一份概念文章。我们的目标是为医疗保健提供者和卫生系统提供对孕产妇结局中种族和民族差异的深入了解，在医疗保健系统中可以改变的病因，以及可用于解决这些病因并为所有育龄妇女实现安全和公平医疗保健的资源。
Racial and ethnic disparities exist in both perinatal outcomes and health care quality. For example, Black women are three to four times more likely to die from pregnancy-related causes and have more than a twofold greater risk of severe maternal morbidity than White women. In an effort to achieve health equity in maternal morbidity and mortality, a multidisciplinary workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women's Health Care, developed a concept article for the bundle on reduction of peripartum disparities. We aimed to provide health care providers and health systems with insight into racial and ethnic disparities in maternal outcomes, the etiologies that are modifiable within a health care system, and resources that can be used to address these etiologies and achieve the desired end of safe and equitable health care for all childbearing women.