解决孕产妇健康差异:构建一个全方位产后护理的新型两代方法
Anne Elizabeth Glassgow1,2, Melissa Wagner-Schuman1,3, Amanda Knepper1
1Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.
两代诊所 (Two-Gen) 模式整合了母婴护理,解决了身体,行为和社会需求. 这种创新方法显示出改善孕产妇健康结果和促进健康公平的前景.
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
- 母婴健康 母婴健康
背景情况:
- 美国面临着一个孕产妇健康危机,孕产妇的严重发病率和死亡率正在上升.
- 现有的产后护理模式往往无法满足母亲和儿童的综合需求,特别是在服务不足的社区.
研究的目的:
- 描述新的两代诊所 (Two-Gen) 护理模式.
- 在多样化的患者群体中评估两代模型的初始实施和结果.
主要方法:
- 两代模式集成了同时使用双向策略的母婴和儿科护理.
- 它结合了协作护理方法,提供无的初级和行为健康护理.
- 一个跨学科的团队提供全面的服务,与共同安排和共同定位的dyad诊所访问.
主要成果:
- 大多数母亲 (89%) 认定为种族/少数民族,超过40%的母亲被诊断患有心理健康问题.
- 观察到高查率 (97.8%) 和参与社会工作 (>50%) 和哺乳辅导 (50%).
- 超过80%的儿童了解健康儿童的访问和免疫接种情况.
结论:
- 两代模型证明了改善母亲和儿童健康结果的潜力.
- 这种综合护理方法表明,它有望促进高产妇健康差异的人群的健康平等.
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