在Medi-Cal中,以出生为中心的结果研究参与 (B-CORE):为降低孕产妇死亡率和严重孕产妇发病率提供社区推
Rand health quarterly
|January 24, 2024
概括
加利福尼亚州的孕产妇死亡率较低,但Medi-Cal受益人面临更高的风险. B-CORE倡议旨在通过让Medi-Cal的利益相关者参与质量改善工作来减少这些差异.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 加利福尼亚州在减少总体孕产妇死亡率 (MM) 上取得了成功.
- 医疗保险的受保人经历了不成比例的高产妇死亡率和严重并发症.
- 在Medi-Cal人口中,特定的种族/民族群体面临着更大的不良结果.
研究的目的:
- 利用现有的全州质量改进基础设施,解决医疗保险人口的孕产妇死亡率和发病率问题.
- 通过专注的质量改善活动,减轻Medi-Cal分娩的不良结果.
- 让Medi-Cal的利益相关者参与合作努力,以改善孕产妇健康公平.
主要方法:
- 扩大数据驱动的全州质量改进组合.
- 实施针对Medi-Cal保险人群的专注策略.
- 让Medi-Cal的主要利益相关者参与,以促进协作质量改进.
主要成果:
- 专注于质量改善基础设施,以解决Medi-Cal孕产妇健康差异.
- 针对性的努力,以减少Medi-Cal受益人中的孕产妇死亡率和发病率.
- 利益相关者参与,以推动对公共保险人员的孕产妇护理的改善.
结论:
- 质量改善基础设施可以调整以解决特定的人口差异.
- 与Medi-Cal的利益相关者集中接触对于改善孕产妇健康结果至关重要.
- 降低Medi-Cal保险人员的孕产妇死亡率和发病率需要有针对性的,数据驱动的干预措施.
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