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.

项目概要/摘要：团队社区合作伙伴关系组件 美国在产妇护理方面的支出比其他任何国家都多，但自那以来，产妇死亡率一直在上升。 2000年，死于妊娠相关并发症的风险高于任何其他高收入国家。 国家黑人/非裔美国人和社会经济地位较低的人不成比例 承担这些后果的负担。需要多部门、多因素的解决方案来解决根源问题 这些差距，并推进解决方案，以创造公平的孕产妇保健。在我们的孕产妇保健中 卓越研究中心，我们将汇集临床卫生专业人员，社区领袖， 研究人员、社区导卫、政策制定者以及为社区提供住房和资源的个人。 高危妊娠我们的努力将提供住房，建立信任，并改善产后护理，所有这些都将得到改善。 以严格的评价为基础，为可持续系统和政策层面的变革宣传提供信息。 协调所有这些努力将需要跨学科的合作，以整合个别学科 解决这些复杂的问题。我们的跨学科和公平的方法来孕产妇健康（团队） 社区伙伴关系部分，改编自一个成功的社区和癌症科学网络 框架，将包括超越学科知识边界的观点， 解决孕产妇健康差距根源的解决方案。我们的中心假设是， 以深度公平为基础，整合不同观点，将有助于解决社会结构性因素 孕产妇健康结果的种族差异。我们将以三个具体目标来追求这一假设：1） 创建一个团队，包括来自研究、临床、人口健康和社区环境的专家， 生成威斯康星州东南部孕产妇健康差异的概念模型，2）促进 参与所有项目组成部分，以确保所有成员之间的公平，信任的关系， 产妇保健卓越中心，以及3）传播政府伙伴关系的成果， 社区、临床和学术环境。从短期来看，这种创新方法将建立双向的， 致力于改善孕产妇健康的不同个人群体之间的持续伙伴关系。中- 从长远来看，我们赠款中的创新方法将改善我们研究参与者的孕产妇健康结果 并为影响地方和全国差异的政策提供信息。从长远来看，这种公平的做法， 医疗保健伙伴关系有望降低慢性病、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种差异 以及更远的地方