Transdisciplinary and Equitable Approach to Maternal health (TEAM)

孕产妇健康跨学科和公平方法（TEAM）

• 批准号: 10756020
• 负责人: Jessica M Olson
• 金额: $ 16.66万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-17 至 2030-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10756020
• 关键词: Address; Adopted; Advocacy; African American; African American population; Area; Birth; Black race; Cancer Science; Cardiovascular Diseases; Caring; Centers of Research Excellence; Chronic Disease; Clinical; Communication; Communities; Community Health Aides; Complex; Continuity of Patient Care; Country; Data Collection; Death Rate; Dedications; Discipline; Disparity; Ensure; Equity; Ethnic Origin; Evaluation; Family; Federally Qualified Health Center; Feedback; Focus Groups; Goals; Government; Grant; Health; Health Personnel; Health Professional; Healthcare; High-Risk Pregnancy; Home; Housing; Hypertension; Income; Individual; Knowledge; Low income; Malignant Neoplasms; Maternal Health; Maternal Mortality; Medicaid; Medical; Modeling; Outcome; Participant; Patients; Persons; Policies; Policy Maker; Population; Postpartum Period; Pregnancy; Pregnancy Complications; Preparation; Race; Reporting; Research; Research Personnel; Research Project Grants; Research Support; Resources; Risk Factors; Risk Reduction; Social Development; System; Training; Trust; Wisconsin; Woman; Work; adverse pregnancy outcome; community organizations; community partnership; community science; community setting; design; health care service organization; health disparity; housing instability; improved; innovation; interdisciplinary collaboration; low socioeconomic status; maternal morbidity; medical schools; meetings; member; mortality risk; outcome disparities; outreach; population health; postpartum care; pregnancy disorder; prenatal; racial disparity; social health determinants; social structure; supported housing; symposium

PROJECT SUMMARY/ABSTRACT: TEAM COMMUNITY PARTNERSHIP COMPONENT The U.S. spends more on maternity care than any other country, and yet maternal death rates have risen since 2000, and the risk of death from pregnancy-related complications is higher than in any other high-income country. Black/African American individuals and individuals with lower socioeconomic status disproportionately bear the burden of these outcomes. Multi-sector, multifactorial solutions are needed to address the root causes of these disparities, and advance solutions to create equity in maternal health. In our Maternal Health Research Center of Excellence, we will bring together clinical health professionals, community leaders, researchers, community-based doulas, policymakers, and individuals who provide housing and resources for high-risk pregnancies. Our efforts will provide access to housing, build trust, and improve postpartum care, all grounded in rigorous evaluation that will inform advocacy for sustainable systems- and policy-level change. Coordinating all of these efforts will require transdisciplinary collaborations to integrate individual disciplines and address these complex issues. Our Trandisciplinary and Equitable Approach to Maternal health (TEAM) Community Partnership Component, adapted from a successful Community and Cancer Science Network Framework, will include perspectives that go beyond the boundaries of disciplinary knowledge and co-develop solutions that address the root causes of maternal health disparities. Our central hypothesis is that approaches grounded in deep equity that integrate diverse perspectives will help addressing social-structural contributors to racial disparities in maternal health outcomes. We will pursue this hypothesis with three specific aims: 1) Create a TEAM that includes experts from research, clinical, population health, and community settings to generate a conceptual model of maternal health disparities in Southeastern Wisconsin, 2) Facilitate engagement across all project components to ensure equitable, trusting relationships between all members of the Maternal Health Center of Excellence, and 3) Disseminate results of partnership in government, community, clinical, and academic settings. Short-term, this innovative approach will build bidirectional, sustained partnerships between diverse groups of individuals dedicated to improving maternal health. Medium- term, the innovative approaches in our grant will improve maternal health outcomes for our study participants and inform policies to impact disparities locally and nationwide. Long-term, this equitable approach to healthcare partnerships promises to reduce the risk of chronic diseases, cancer, and cardiovascular disease, eradicating multiple disparities through an integrated healthcare continuum that spans from birth to pregnancy and beyond.

项目摘要/摘要：团队社区伙伴关系部分 美国在产妇护理上的花费比其他任何国家都多，但自从孕产妇的死亡率上升 2000年，与怀孕有关的并发症死亡的风险高于任何其他高收入 国家。黑人/非裔美国人的个人和社会经济地位较低的个人不成比例 承担这些结果的负担。需要多部门的多因素解决方案来解决根本原因 在这些差异中，以及在孕产妇健康方面创造股权的提前解决方案。在我们的孕产妇健康 卓越研究中心，我们将汇集临床卫生专业人员，社区领导者， 研究人员，社区的杜拉斯，政策制定者以及为住房和资源提供资源的个人 高风险怀孕。我们的努力将为住房提供机会，建立信任并改善产后护理 基于严格的评估，将为可持续系统和政策级别的变化提供倡导。 协调所有这些努力将需要跨学科的合作来整合单个学科 并解决这些复杂的问题。我们对孕产妇健康（团队）的第一学科和公平的方法 社区合作伙伴关系部分，改编自成功的社区和癌症科学网络 框架，将包括超越纪律知识和共同开发界限的观点 解决孕产妇健康差异根本原因的解决方案。我们的中心假设是方法 基于深厚的公平，整合多种观点将有助于解决社会结构贡献者 在孕产妇健康成果中的种族差异。我们将以三个特定的目的提出这一假设：1） 创建一个团队，包括研究，临床，人口健康和社区环境的专家 在威斯康星州东南部产生孕产妇健康差异的概念模型，2）促进 在所有项目组件中的参与，以确保公平，信任的关系 孕产妇卓越中心和3）传播政府合作伙伴关系的结果， 社区，临床和学术环境。短期，这种创新的方法将建立双向， 致力于改善孕产妇健康的不同群体之间的持续伙伴关系。中等的- 术语，我们赠款中的创新方法将改善我们的研究参与者的孕产妇健康成果 并告知政策以影响当地和全国范围内的差异。长期，这种公平的方法 医疗保健伙伴关系有望降低慢性疾病，癌症和心血管疾病的风险， 通过从出生到怀孕的综合医疗保健连续体消除多个差异 及以后。