决策和切口时间之间的关系根据种族和种族
Rodney Bruno1, Gianna Wilkie2, Julianne Lauring3
1Department of Obstetrics and Gynecology, Boston University Medical Center, Boston, MA, USA.
Minerva obstetrics and gynecology
|March 21, 2024
概括
这项研究发现,剖腹产决定至切口时间之间没有基于种族或种族的差异. 然而,只有一半的剖腹产实现了目标时间,这表明所有患者都需要改善工作流程.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 解决产科护理中的不平等问题对于减少健康差异至关重要.
- 本研究研究了种族和种族如何影响剖腹产决定到切口的时间.
研究的目的:
- 评估种族和民族对剖腹产决定切口时间的影响.
- 评估一个病例分类系统是否会影响不同种族和种族群体的时间表.
主要方法:
- 从2020年10月到2021年3月,对565例剖腹产的回顾性队列研究.
- 对人口统计数据,病例分类 (STAT,A,B等级,其他) 和决策到切口时间的分析.
- 黑人/非裔美国人,西班牙裔/拉丁裔和白人患者群体之间的时间表的比较.
主要成果:
- 在种族/族群之间没有观察到决定切口时间的统计学上显著差异.
- 西班牙裔女性更有可能需要翻译服务.
- 只有51.8%的剖腹产完成了他们的目标时间,不论种族/种族.
结论:
- 种族和种族似乎没有影响剖腹产决定切口时间或病例分类.
- 改善剖腹产分娩工作流程存在重大机遇,因为只有一半的病例达到目标时间.
- 需要进一步评估,以优化所有患者及时剖腹产的流程.
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