Improving Postpartum Care: Identifying Opportunities to Reduce Postpartum Emergency Room Visits Among Publicly-Insured Women of Color.
Improving Postpartum Care: Identifying Opportunities to Reduce Postpartum Emergency Room Visits Among Publicly-Insured Women of Color.
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DOI：
10.1007/s10995-021-03282-5
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发表时间：
2022-04
影响因子：
2.3
通讯作者：
Gorbenko K
中科院分区：
文献类型：
--
作者：
Harrell T;Howell EA;Balbierz A;Guel L;Pena J;Janevic T;Gorbenko K
本研究的目的是探讨有色人种公共保险妇女的产后经历，并确定如何改善产后护理，以减少产后医院急诊室的使用。我们进行了四个焦点小组与18个公共保险的妇女谁主要是自我认定为黑人和/或拉丁裔，并在2019年6月1日和2020年5月1日之间生育。我们使用归纳定性分析，以确定从焦点小组讨论的突出主题。我们确定了四个领域：（1）缺乏与医疗队的联系和沟通;（2）缺乏准备;（3）社会支持的价值;（4）参与者确定的改进机会。本研究描述了有色人种公共保险妇女的产后经历，目的是确定干预领域，以减少产后急诊室的使用。我们的研究结果表明，集中精力加强护理的连续性，以增加医疗保健的可及性，通过培训提供者来加强患者与提供者的沟通，以认识到无意识的偏见，通过将教材改编为在线格式来增加产后准备，并在整个怀孕过程中吸引女性的护理人员，以加强社会支持，可能是有益的。
The purpose of this study was to explore the postpartum experiences of publicly-insured women of color, and identify how postpartum care can be improved to reduce hospital emergency department usage after delivery. We conducted four focus groups with 18 publicly-insured women who primarily self-identified as Black and/or Latina and gave birth between June 1, 2019 and May 1, 2020. We used inductive qualitative analysis to identify prominent themes from focus group discussions. We identified four domains: (1) lack of access to and communication with a medical team; (2) lack of preparation; (3) value of social support; and (4) participant-identified opportunities for improvement. This study describes the postpartum experiences of publicly-insured women of color with the objective of identifying areas for intervention to reduce postpartum emergency department usage. Our findings suggest that focused efforts on enhancing continuity of care to increase healthcare access, strengthening patient-provider communication by training providers to recognize unconscious bias, increasing postpartum preparation by adapting teaching materials to an online format, and engaging women’s caregivers throughout the pregnancy course to bolster social support, may be beneficial.
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