美国社区卫生中心怀孕护理的景观
Katherine E Putnam1, Frances M Biel2, Megan Hoopes2
1From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD). bergerk@ohsu.edu.
社区卫生中心 (CHC) 提供重要的产前护理,其中41%提供纵向服务. 这些中心服务于多样化,高风险的孕妇患者,解决母亲健康的关键需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 孕产妇健康 孕产妇健康
背景情况:
- 社区卫生中心 (CHC) 是弱势群体的关键接入点.
- 高风险的怀孕需要全面的产前护理,但CHC的提供仍未得到充分审查.
- 了解CHC在产前护理中的作用对于解决孕产妇健康不平等至关重要.
研究的目的:
- 确定社区卫生中心 (CHCs) 提供纵向产前护理的程度.
- 为了确定与在CHC设置中接受产前护理相关的临床和患者特征.
- 为了比较在CHC中接受纵向产前护理的患者的特征与那些没有接受纵向产前护理的患者的特征.
主要方法:
- 使用电子健康记录 (EHR) 数据进行回顾性队列研究.
- 在2018-2019年期间,从全国社区卫生中心网络 (ADVANCE) 中加速数据价值的数据分析.
- 包括408名医疗保健中心和28,578名孕妇患者,以比较护理提供.
主要成果:
- 41%的医疗保健中心提供了长期产前护理.
- 提供纵向护理的CHC规模更大,拥有多学科团队,并为更多非白人和非英语患者提供服务.
- 接受纵向产前护理的患者多样化,许多患有并发症,更有可能是白人,拉丁语或有非英语语言偏好.
结论:
- 许多医疗保健中心为高风险的弱势群体提供必要的产前护理.
- 医疗保健中心是减少孕产妇发病率和死亡率不平等的关键合作伙伴.
- 调查结果强调了中医中心在确保获得关键孕产妇医疗保健服务方面的重要性.
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