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

在佐治亚州，黑人女性占怀孕相关死亡的60%，这一比例为3.3% 比非西班牙裔白人死亡的可能性高出一倍。 佐治亚州临床和翻译科学联盟(佐治亚州CTSA)通过 行政副刊，将为实施母亲制奠定基础 健康和妊娠结局每个人的愿景(改善)，在全州 乔治亚。佐治亚州-改善将建立一个以社区为重点的多学科 围产期护理研究和干预网络(PCRIN)，为优先事项提供信息 可预防的孕产妇死亡率(MM)、严重孕产妇发病率(SMM)，并促进 健康公平。 佐治亚州改进计划的总体目标是：1)纳入战略社区 伙伴关系和参与，以解决孕产妇保健方面的健康差距；和2) 为扩大多发性骨髓瘤和妊娠的主要原因的研究奠定基础 相关发病率，重点是以患者为中心的循证预防。 该项目符合并属于佐治亚州CTSA社区参与的范围， 整合特殊人群和信息学计划，并将建立基础 为围产期护理研究和干预网络(PCRIN)提供信息 研究，关于MM/SMM的社会文化和行为决定因素的数据。 具体目标是：1)发展以社区为基础的多方利益相关者围产期 保健研究和干预网络(PCRIN)由妇女、医疗保健提供者和 卫生系统，以确定障碍，并制定利益相关者知情的解决方案 最优的孕产妇健康公平。 2)开展以患者为中心的围产期护理协调试点可行性研究，使用 远程监控，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，将优先考虑妇女和 他们的家庭，以及在护理过渡中提供文化上一致的方法。

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.