在产前护理经验和分娩医院特征中的种族差异
Fiona Weeks1, Rebecca Myerson2, Ronald Gangnon3
1Department of Population Health Sciences, University of Wisconsin-Madison, United States; Center for Demography and Ecology, University of Wisconsin-Madison, United States.
Social science & medicine (1982)
|January 31, 2025
概括
在分娩护理方面,种族不平等仍然存在,土著和黑人分娩个体比白人个体遭受更多的不尊重和不太响应的护理. 解决这些差异需要将以患者为中心的实践制度化.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 以患者为中心的护理
背景情况:
- 围产期结果的种族差异是一个重大的公共卫生问题.
- 产后护理是一个潜在的领域,在出生结果中的种族不平等可能会得到调解.
- 有限的研究量化评估了以患者为中心的产后护理质量及其种族差异.
研究的目的:
- 测量产妇内护理的以患者为中心的质量.
- 探索在产前护理经验中的种族差异.
- 确定威斯康星州分娩人员在护理质量方面的差异.
主要方法:
- 开发使用认知采访的调查补充.
- 在威斯康星州 (2020年) 的最近出生个体的基于概率的,种族分层的随机样本上进行管理.
- 使用调查加权回归模型来分析种族/种族和医院特征的差异.
主要成果:
- 在负面的产后护理经历中发现了显著的种族差异.
- 与白人相比,土著和黑人分娩的人报告了更高的不尊重率和较低的护理团队反应能力.
- 原住民更有可能经历被隐的信息和不尊重,即使在调整后.
结论:
- 尽管有权得到尊重的照顾,但土著和黑人分娩人员不成比例地面临负面的产前经历.
- 缺乏提供者尊重和响应能力是导致护理差异的关键问题.
- 为了实现公平,以人为中心的护理,需要进行制度变革,以维护患者的尊严和自主权.
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