获得产妇护理:改善美国社区平等的挑战和解决方案
Katy B Kozhimannil1, Julia D Interrante1, Alecia J McGregor2
1University of Minnesota Rural Health Research Center, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota.
Current opinion in obstetrics & gynecology
|November 8, 2024
概括
美国的孕产妇健康状况正在下降,产科关闭不成比例地影响农村和少数民族社区. 改善获得产妇护理的机会需要有针对性的投资来解决这些日益严重的不平等问题.
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
- 孕产妇健康公平的权利.
背景情况:
- 孕产妇的健康是美国临床和政策的关键焦点.
- 现有文献强调了产妇护理获得的差异.
研究的目的:
- 审查最近关于获得产妇护理的文献.
- 检查产妇护理准入对种族和地理平等的影响.
主要方法:
- 关于获得产妇护理的最新研究的文献综述.
- 对产科单位关闭后果的研究分析.
- 检查低体积和农村产科单位所面临的挑战.
主要成果:
- 产科病房关闭会带来广泛的负面影响.
- 低容量单位和需要长途旅行的单位会给健康带来挑战.
- 孕产妇死亡率正在上升,同时孕产妇获得护理的机会也在下降.
结论:
- 在美国,获得产妇护理的机会正在减少,特别是在农村地区和有大量黑人,拉丁裔或土著人口的社区.
- 小规模和黑人服务的产科单位面临着资源和财务上的挑战.
- 有针对性的投资对于提高产妇护理的安全性和可访问性至关重要.
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