Transdisciplinary and Equitable Approach to Maternal health (TEAM)

项目摘要/摘要：团队社区伙伴关系组成部分 美国在产妇保健上的花费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，因妊娠相关并发症死亡的风险比任何其他高收入人群都要高 国家。黑人/非裔美国人和社会经济地位较低的人不成比例 承担这些结果的负担。需要多部门、多因素的解决方案来解决根本原因 消除这些差距，并提出解决办法，以实现孕产妇保健方面的公平。在我们的母亲健康中 卓越研究中心，我们将汇聚临床卫生专业人员、社区领袖、 研究人员、社区工作人员、政策制定者和为以下方面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，改善产后护理，所有这些 以严格的评估为基础，这将为倡导可持续系统和政策层面的变革提供信息。 协调所有这些努力将需要跨学科合作来整合各个学科 并解决这些复杂的问题。我们对产妇健康的跨学科和公平方法(团队) 社区伙伴关系组成部分，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界限并共同发展的视角 解决孕产妇健康差距的根本原因的解决办法。我们的中心假设是， 根植于深度公平，整合不同的视角将有助于解决社会结构性贡献者 在孕产妇健康结果方面的种族差异。我们将以三个具体目标来研究这一假说：1) 创建一支包括研究、临床、人口健康和社区环境专家在内的团队，以 生成威斯康星州东南部孕产妇健康差距的概念模型，2)促进 参与所有项目组成部分，以确保所有成员之间建立公平、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。短期内，这种创新方法将建立双向的、 致力于改善产妇健康的不同个人群体之间的持续伙伴关系。中等- 在长期内，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距的政策提供信息。从长远来看，这种公平的方法 医疗保健伙伴关系承诺降低慢性病、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重差异 以及更远的地方。

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.