西班牙裔分娩人员的产周护理:主要语言和国家政策环境的差异
Julia D Interrante1, Cynthia Pando1, Alyssa H Fritz1
1Division of Health Policy and Management, University of Minnesota, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
Health services research
|June 17, 2024
概括
西班牙裔分娩个体的产妇护理准入和质量因语言和州政策而异. 医疗补助扩展和各州的移民覆盖率促进了西班牙语和英语西班牙裔人士的公平产周护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 孕产妇健康 孕产妇健康
背景情况:
- 在西班牙裔分娩个体中,母亲照顾的差异仍然存在.
- 主要语言和国家政策环境显著影响医疗保健的获取和质量.
研究的目的:
- 调查西班牙裔分娩个体在产妇护理利用率和质量的差异.
- 检查主要语言 (西班牙语与英语) 和州医疗补助政策对产周护理的影响.
主要方法:
- 利用了来自2016-2020年怀孕风险评估监测系统调查的综合数据,涵盖44个州和两个司法管辖区.
- 采用多变量后勤回归来分析基于初级语言和州医疗补助扩展/移民覆盖政策的产妇护理利用率和质量.
主要成果:
- 与英语同行相比,西班牙语西班牙裔个人报告说,与英语同行相比,预孕和产前护理的出席率,及时性和充分性较低.
- 缺乏医疗补助扩张和移民医疗补助覆盖的州显示,西班牙裔分娩人员的产后和产前护理质量明显较低.
- 在有支持政策的州,西班牙语和英语西班牙裔个人之间,适当的产前护理和产后护理质量的差异缩小了.
结论:
- 在西班牙裔分娩个体中,围产期护理的利用率和质量受到主要语言和州政策背景的影响.
- 医疗补助扩展和移民医疗补助覆盖政策对于促进西班牙裔人口在孕产妇护理中的健康公平至关重要.
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