研究方案:在6个州的医疗补助计划中,对杜拉护理的实施进行混合方法研究,以解决种族健康平等问题
Marian Jarlenski1,2, Susan Kennedy3, Annaliese Johnson3
1Department of Health Policy and Management, University of Pittsburgh School of Public Health, 130 DeSoto St, A619, Pittsburgh, PA, 15261, United States of America. marian.jarlenski@pitt.edu.
Health research policy and systems
|August 8, 2024
概括
医疗补助 (Medicaid) 杜拉计划可以改善孕产妇护理中的种族健康平等. 这项研究探讨了医疗补助计划如何最好地实施杜拉护理,以减少有色人种妇女的严重孕产妇发病率和死亡率.
科学领域:
- 公共卫生 公共卫生
- 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:
- 严重孕产妇发病率 (SMM) 和死亡率的种族差异是美国的一个关键的公共卫生问题.
- 提供非临床,文化敏感的支持的杜拉护理,是对产科种族主义的潜在干预.
- 国家医疗补助计划越来越多地实施杜拉服务,以应对不断上升的SMM和死亡率.
研究的目的:
- 研究医疗补助计划实施杜拉护理的有效策略.
- 了解多拉计划实施的变化如何影响孕产妇健康结果的种族平等.
- 通过医疗补助支持的杜拉服务,确定消除SMM和死亡率种族差距的方法.
主要方法:
- 一个混合方法的研究协议,检查了美国六个州的杜拉计划实施情况.
- 数据收集包括政策分析,纵向doula数据,受益者调查和医疗补助行政数据.
- 定量和定性分析将评估杜拉护理对SMM,尊重护理和慢性病管理的影响,按种族分层.
主要成果:
- 这个部分不在所提供的摘要中.
结论:
- 研究结果将为医疗补助计划,杜拉和受益人提供有关优化杜拉护理整合的信息.
- 这项研究旨在澄清医疗补助计划中杜拉护理的实施如何影响种族健康平等.
- 了解这些过程对于推进公平的孕产妇卫生保健至关重要.
- 这项研究已在开放科学基金会 (https://doi.org/10.17605/OSF.IO/NXZUF) 注册.
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