在高风险的产前护理遵守的差异沿着种族和民族的线路
Molly M Stegman1, Elizabeth Lucarelli-Baldwin2, Serdar H Ural2
1College of Medicine, The Pennsylvania State University, Hershey, PA, United States.
Frontiers in global women's health
|August 10, 2023
概括
种族和民族少数群体不成比例地受到高风险怀孕的影响. 了解哪些患者错过了预约对于改善产前护理准入和结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 健康差距 研究 研究 研究 研究
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 高风险怀孕需要频繁的产前监测,以获得最佳的孕产妇和胎儿结果.
- 患者不来医疗预约是有记录的护理障碍,某些人口群体的病例率更高.
- 现有关于产科不出诊的研究主要探讨错过预约的原因,而不是错过预约的患者的特征.
研究的目的:
- 要突出确定与高风险怀孕相关的患者人口统计数据的关键需要.
- 解决研究中的一个差距,专注于*哪些患者*错过了预约,而不仅仅是*为什么*.
- 为旨在改善多样化,高风险人群的产前护理遵守率的有针对性的干预措施提供信息.
主要方法:
- 对医疗预约现有文献的审查,在各个学科中都没有显示.
- 分析表明缺席医疗预约的种族和民族差异的研究.
- 确定有关特定患者群体缺失高风险产前护理预约的研究缺口.
主要成果:
- 其他医疗领域的研究表明,与高加索患者相比,非裔美国患者的无病率更高 (例如,乳房扫描几率比率为2.64).
- 关于错过高风险产科医生预约的患者的特定人口特征,存在重大研究差距.
- 在代表性不足的种族/民族群体中,健康结果的差异是明显的.
结论:
- 识别哪些患者错过高风险的产前预约对于解决健康差异至关重要.
- 在高风险,多样化的人口中,有针对性的策略可以提高约会遵守率,可以改善孕产妇和婴儿健康结果.
- 需要进一步的研究来描述和解决那些错过预约的高风险怀孕患者的需求.
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