在两个大量的城市产科医院,不公平地根据种族,保险和护理地点对怀孕意图进行查
Alice Abernathy1,2,3, Miatta Goba4, Markolline Forkpa1
1Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of women's health (2002)
|February 11, 2025
概括
怀孕意图查因患者种族和医院实践而异,显现出生殖护理方面的不平等. 解决这些差异对于所有人的公正,以患者为中心的医疗保健至关重要.
科学领域:
- 生殖健康 生殖健康
- 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:
- 公共卫生倡议旨在减少美国的意外怀孕.
- 在不同种族群体之间存在意外怀孕,堕胎和出生率的差异.
- 怀孕意图查通常发生在晚期,阳性妊娠测试后.
研究的目的:
- 检查患者和卫生系统特征与怀孕意图查之间的关联.
- 确定影响怀孕意图或计划查可能性的因素.
主要方法:
- 一个回顾性队列研究的二次分析.
- 包括2019年来自费城两家医院的9,672个单独分娩.
- 后勤回归用于识别与查相关的特征.
主要成果:
- 只有33%的分娩包括怀孕意图查.
- 黑人患者和公共保险/无保险患者更有可能接受查.
- 医院地点是查的主要驱动因素,在调整后,黑人种族仍然是一个重要因素.
结论:
- 怀孕意图查中的不平等与机构实践和患者种族有关.
- 强调需要公平的查,以确保公正,以患者为中心的生殖护理.
- 敦促在医疗保健机构进行标准化,高质量的查实践.
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