感知偏见和美国围产期医疗保健质量:对实践和政策的影响
Rosemary E Timmons1,2, Amparo C Villablanca3, Collin L Ellis2
1School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Journal of women's health (2002)
|April 24, 2025
概括
患者对提供者偏见的看法会对产前护理质量产生负面影响,特别是在少数群体中. 解决偏见对于减少美国孕产妇死亡率和改善分娩结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 健康 公平 卫生 公平
背景情况:
- 美国的孕产妇死亡率高得令人担忧,出生结果存在显著差异.
- 怀孕期间患者对偏见的看法是不良围产期健康结果的已知风险因素,特别是在少数群体中.
研究的目的:
- 探索患者对提供者偏见的看法与美国围产期医疗保健的质量之间的联系.
- 综合现有研究对感知偏见及其对孕产妇健康结果的影响.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 评估了2003-2023年期间发表的原始研究,检查了被认为的偏见/歧视和围产期护理质量指标.
- 包括定性和定量研究,以提供全面的理解.
主要成果:
- 出现了四个主要主题:感知偏见与人口因素 (种族/种族,保险) 的关联,患者参与护理,沟通/信任崩以及患者代理.
- 感知偏见与提供者关系,医疗保健参与和母亲代理有关.
- 第一人称叙述强调了偏见在理解孕产妇健康不平等方面的作用.
结论:
- 解决患者对提供者偏见的看法对于改善美国孕产妇死亡率和整体产周护理质量至关重要.
- 偏见感知是改善健康结果的重要障碍,特别是在少数群体中.
- 了解和减轻被认为的偏见可以提高孕产妇健康公平.
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