"这是一个优先事项":对马萨诸塞州实施孕产妇股权安全包的定性分析
Anna K Daoud1,2,3, Elysia Larson4,5, Tonia J Rhone6
1The Perinatal Neonatal Quality Improvement Network of Massachusetts, Boston, MA, USA. ank7089@nyp.org.
Implementation science communications
|March 28, 2025
概括
实施公平的孕产妇安全包 (MSB) 需要强有力的领导支持和公平的文化来克服资源限制和临床医生孤岛等障碍. 优先考虑公平是改善围产期护理和分娩结果的关键.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 实施科学 实施科学
背景情况:
- 在美国,严重的孕产妇发病率存在极端和不断增长的黑白人差异.
- 孕产妇安全包 (MSBs) 显示出减少孕产妇健康方面的种族平等差距的潜力.
- 这项研究探讨了临床医生在马萨诸塞州的Equity MSB的经验.
研究的目的:
- 探讨临床医生对实施公平孕产妇安全包 (MSB) 的观点.
- 确定解决围产期护理不平等问题的促进者和障碍者.
- 了解马萨诸塞州五家医院的经验.
主要方法:
- 焦点小组和与产科护士和医生的采访 (2022年秋季和2023年秋季).
- 基于实施研究综合框架 (CFIR) 的半结构化指南.
- 用于演和归纳编码的NVivo 14; 评估了interrater可靠性.
主要成果:
- 七个主题出现了:领导力支持,公平的文化,改进数据收集,资源需求,员工教育,克服临床医生孤岛和区分公平的MSB.
- 领导者优先考虑和公平的文化促进了实施.
- 障碍包括对变革的抵抗,有限的资源和专业的孤岛.
结论:
- 领导力和公平的文化是公平的MSB实施的关键促进者.
- 解决阻力,资源限制和临床医生隔离是至关重要的.
- 考虑未来以公平为重点的倡议在预实施和早期实施阶段的促进者和障碍.
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