评估设施是否准备好在纽约州提供公平的分娩护理:一项基线调查
Sahar Gowani1, Jacqueline Kellachan, Chiagbanwe Enwere
1Author Affiliations: Division of Family Health, New York State Department of Health, Albany, New York (Dr Kacica and Mss Kellachan and Enwere); Albany Medical College, Albany, New York (Dr Gowani); and State University of New York, University at Albany, School of Public Health, Albany, New York (Dr Kacica).
Journal of public health management and practice : JPHMP
|November 4, 2024
概括
纽约州的分娩设施显示了各种各样的股权政策. 许多缺乏正式计划和多样化的领导力,突出了改善所有种族,种族,语言和性别群体的孕产妇护理和结果的关键领域.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 研究 健康 公平 研究
- 医疗保健政策分析 政策分析
背景情况:
- 设施政策对孕产妇健康状况产生重大影响,并有助于现有的不平等.
- 在纽约州 (NYS),黑人女性的孕产妇死亡率是白人女性的4-5倍.
研究的目的:
- 评估纽约州分娩设施的种族,种族,语言和性别平等政策.
- 确定改善护理提供和患者结果的领域.
主要方法:
- 采用了横截面研究设计.
- 数据是通过纽约州医院和分娩中心 (2020年12月 - 2021年6月) 设施领导的自我报告调查收集的.
- 在四个领域分析了股权数据:组织承诺,员工培训,领导/员工组成和患者参与.
主要成果:
- 超过50%的设施对股权有公开承诺,但只有15%的设施拥有书面的股权计划,并有进度监测.
- 不到三分之一的设施在领导层中比例代表了来自少数种族,种族,语言和性别 (REaLG) 群体的员工.
- 虽然一半的报告人员组成反映了患者群体,但只有25%的分析员工REaLG人口统计数据以提供有针对性的患者护理. 33%的人需要隐含偏见培训,17%的人使用患者满意度数据来了解种族平等.
结论:
- 纽约州分娩设施在实施公平护理政策和实践方面表现出多样性.
- 调查结果为设施提供了增强其公平努力的具体领域.
- 公平性评估对于设施评估实践和全州机构制定有针对性的规划至关重要.
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