Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)

为每个人实施孕产妇健康和妊娠成果愿景（IMPROVE）

基本信息

批准号：
10200504
负责人：
Andres J Garcia
金额：
$ 17.75万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-22 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10200504
关键词：
Address Administrative Supplement Adoption Affect Americas Behavioral Biological Birthing Centers COVID-19 Caring Chronic Clinical Sciences Communities Community Healthcare Community Participation Community Physician Computerized Medical Record Data Data Collection Diabetes Mellitus Education Family Fast Healthcare Interoperability Resources Feasibility Studies Federally Qualified Health Center Focus Groups Foundations Glare Goals Health Health Insurance Portability and Accountability Act Health Personnel Health Priorities Health Promotion Health behavior Health system Hospitals Hypertension Informatics Intervention Interview Lead Maternal Health Maternal Mortality Methods Modeling Monitor Morbidity - disease rate Morehouse School of Medicine Needs Assessment New Mexico Not Hispanic or Latino Obesity Patients Perinatal Perinatal Care Population Programs Postpartum Period Pregnancy Pregnancy Outcome Prevention Process Provider Public Health Quality of life Reporting Research Risk Role Secure Structural Models Structure Surveys Testing Time Training Translational Research Universities Vision Woman base blood pressure regulation care coordination care outcomes caucasian American community partnership effectiveness evaluation evidence base health disparity health equity implicit bias informant mHealth mortality multidisciplinary named group pandemic disease patient engagement patient oriented patient-clinician communication pregnancy related death programs racism severe maternal morbidity social culture social determinants stressor theories

项目摘要

In Georgia, black women account for 60% of pregnancy-related deaths and are 3.3 times more likely to die than non-Hispanic Whites. The Georgia Clinical and Translational Science Alliance (Georgia CTSA) through this administrative supplement, will establish a foundation for the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE), across the state of Georgia. Georgia-IMPROVE will establish a community focused multidisciplinary perinatal care research and intervention network (PCRIN) to inform priorities on preventable maternal mortality (MM), severe maternal morbidity (SMM), and to promote health equity. The overall goals of Georgia IMPROVE are to 1) incorporate strategic community partnerships and participation to address health disparities in maternal health; and 2) establish a foundation to expand research on the leading causes of MM and pregnancy related morbidity, with a focus on patient centered evidence-based prevention. This project aligns with and is in the scope of Georgia CTSA Community engagement, Integrating special populations and Informatics programs, and will establish a foundation for a Perinatal Care Research and Intervention Network (PCRIN) that will inform future research, with data on sociocultural and behavioral determinants of MM/SMM. The specific aims are to: 1) Develop a multi stakeholder, community-based Perinatal Care Research and Intervention Network (PCRIN) of women, healthcare providers and health systems, to identify barriers to, and develop stakeholder-informed solutions for optimal maternal health equity. 2) Conduct a Pilot feasibility study of patient-centered perinatal care coordination, using remote monitoring, to support care transition from perinatal through 42 days postpartum. These findings will support future research that will prioritize the needs of women and their families, as well as inform culturally congruent approaches in care transitions.

在佐治亚州，黑人妇女占与怀孕有关的死亡的60％，为3.3 比非西班牙裔白人死亡的可能性要高。佐治亚州的临床和转化科学联盟（佐治亚州CTSA）通过此行政补充将为实施母亲建立基础整个状态乔治亚州。佐治亚州 - 将建立一个以社区为本的多学科围产期护理研究与干预网络（PCRIN），以告知优先事项可预防的孕产妇死亡率（MM），严重的孕产妇发病率（SMM）并促进健康平等。佐治亚州改善的总体目标是1）合并战略社区伙伴关系和参与解决孕产妇健康方面的健康差异；和2）为扩大有关MM和妊娠主要原因的研究建立基础相关的发病率，重点是以患者为中心的证据预防。该项目与佐治亚州CTSA社区参与的范围保持一致，并处于整合特殊人群和信息学计划，并将建立基础对于围产期护理研究和干预网络（PCRIN），将为未来提供信息研究，含MM/SMM的社会文化和行为决定因素的数据。具体目的是：1）开发一个多利益相关者，基于社区的围产期妇女，医疗保健提供者和卫生系统，以确定并为利益相关者提供的障碍最佳孕产妇健康公平。 2）使用以患者为中心的围产期护理协调进行试验可行性研究远程监控，以支持从围产期到产后42天的护理过渡。这些发现将支持未来的研究，以优先考虑妇女的需求和他们的家人，以及在护理过渡方面的文化一致方法。