建立NIH社区实施计划,以改善孕产妇健康
Karen M Plevock Haase1, Candice A Price2, Gina S Wei2
1Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA. karen.plevock@nih.gov.
Implementation science communications
|September 29, 2024
概括
美国面临着一个具有显著差异的孕产妇死亡危机. 新的计划,如产妇健康社区实施计划 (MH-CIP),旨在公平地实施现有干预措施,特别是在服务不足的地区.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 健康差异 在健康上的差异
背景情况:
- 美国孕产妇死亡率上升.
- 孕产妇发病率和死亡率的显著差异不成比例地影响着服务不足和少数群体.
- 通过现有的干预措施,孕产妇死亡在很大程度上是可以预防的,但实施差距仍然存在,特别是在产妇护理沙漠.
研究的目的:
- 概述国家心脏,肺和血液研究所 (NHLBI) 的孕产妇健康社区实施计划 (MH-CIP) 和国家卫生研究院 (NIH) 的"为所有人实施孕产妇健康和怀孕前期结果愿景" (IMPROVE) 的推动力,目标和结构.
- 提供由这些社区实施方案 (CIP) 支持的研究的高级概述.
- 将CIP的潜在结果置于美国孕产妇健康倡议的更广泛环境中.
主要方法:
- 社区实施计划 (CIP) 旨在吸引受影响不成比例的社区参与.
- CIP与学术研究人员和社区合作,进行实施研究.
- 本评论综合了关于MH-CIP和IMPROVE-CIP的创建,目标,结构和支持研究的信息.
主要成果:
- 超过80%的孕产妇死亡是可以通过目前的干预措施预防的.
- CIPs旨在促进基于证据的干预措施的公平实施.
- 这些计划通过与学术研究人员的社区合作,促进实施研究.
结论:
- MH-CIP和 IMPROVE-CIP倡议通过关注基于证据的干预措施的公平实施来解决孕产妇健康的关键差距.
- 这些计划对于降低孕产妇死亡率和发病率至关重要,特别是在服务不足的人群中.
- 在CIPs中的实施研究具有显著的潜力,可以改善美国各地的孕产妇健康结果.
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