"MAMA's就像第二个:"客户和工作人员在一个周产期医疗中心内的综合社会风险护理管理计划中的经验
Kasee Houston1, Flor Arellano2, Helia Imany-Shakibai2
1Southern California Permanente Medical Group, Department of Neonatal-Perinatal Medicine, Kaiser Permanente Riverside Medical Center, 10800 Magnolia Ave, Riverside, CA, 92505, USA. Kaseehouston@gmail.com.
Maternal and child health journal
|January 31, 2024
概括
通过解决社会需求和种族主义,MAMA的计划有效地减少了早产差异. 员工和客户之间建立关系是缓解慢性压力的关键,特别是在COVID-19大流行期间.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 过早分娩的种族不平等仍然存在,需要创新的医疗保健解决方案.
- 洛杉矶县产妇评估和管理访问服务协同社区 (MAMA) 计划的目标是慢性压力和健康的社会决定因素.
- 玛玛的计划显示,黑人参与者早产率下降,但关键组成部分仍未确定.
研究的目的:
- 在MAMA的计划中探索员工和客户的经验.
- 确定减轻压力的因素,以及该计划如何解决种族主义问题.
- 了解在COVID-19大流行期间优化健康的挑战和机会.
主要方法:
- 与21名员工和34名客户进行半结构面试 (2020年11月至2021年12月).
- 采访探讨了节目经验,COVID-19的影响和种族主义经历.
- 现象学框架与基于理论编码进行主题分析.
主要成果:
- 六个主要主题出现了:客户压力因素,边缘化群体 (无证,拉丁裔,西班牙语) 的障碍,特殊照顾,情感支持,解决种族主义问题以及COVID-19的影响.
- 客户和员工合作解决社会需求,慢性压力和种族主义.
- 关系建设被确定为一个关键的程序组件.
结论:
- 马马的计划促进合作,以减轻慢性压力和种族主义,特别是在COVID-19大流行期间.
- 强大的人际关系是该计划在减少慢性压力方面的成功的基础.
- 解决健康和种族主义的社会决定因素对于改善围产期健康公平至关重要.
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