使用质量改进来解决围产期护理中健康需求的社会决定因素
Patricia Lee King1, Aleena Surenian2, Renee M Odom3
1Northwestern University, Feinberg School of Medicine, Center for Healthcare Services and Outcomes Research-Institute for Public Health and Medicine, 633N. St. Clair, 20th Fl, Chicago, IL 60611, United States; University of Chicago, Pritzker School of Medicine, Obstetrics and Gynecology, 5841 S. Maryland Avenue Chicago, IL 60637, United States; NorthShore University HealthSystem (now Endeavor Health), Maternal-Fetal-Medicine, 2650 Ridge Avenue, Evanston, IL 60201, United States.
围产期结局中的种族不平等仍然存在. 通过质量改善倡议和社区参与来解决健康的社会决定因素 (SDOH),可以改善孕产妇和新生儿健康平等.
科学领域:
- 孕产妇和儿童的健康
- 健康 公平 卫生 公平
- 公共卫生 公共卫生
背景情况:
- 美国围产期结局的种族差异是显著的.
- 健康的社会决定因素 (SDOH) 是影响母亲和新生儿健康结果的关键因素,并导致这些差异.
- 解决SDOH对于实现出生平等至关重要.
研究的目的:
- 审查关于SDOH在产周护理中的干预措施的文献.
- 描述伊利诺伊州产周质量协作机构 (ILPQC) 的出生公平倡议,重点关注SDOH.
- 详细介绍一家医院实施SDOH查和资源链接策略的经验,并提出地方行动的框架.
主要方法:
- 关于SDOH在围产环境中的改善的文献综述.
- 描述一个以州为基础的质量改进计划 (ILPQC出生权益).
- 一家医院实施SDOH查和资源链接的案例研究.
主要成果:
- 基于州的质量改善举措可以有效地促进SDOH查.
- 实施可行的患者和社区参与策略至关重要.
- 成功连接到SDOH资源和服务需要有针对性的方法.
结论:
- 质量改进举措对于在产周护理中解决SDOH至关重要.
- 社区和患者的参与是成功SDOH干预的关键.
- 一个结构化的框架可以指导当地努力通过解决SDOH来改善出生平等.
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