了解和解决大批劳动和分娩单位的尿液药物查协议中的偏见
Megan Kalata1, G Sotolongo1, L Ahlers2
1Department of Obstetrics & Gynecology, Creighton University, Omaha, NE, USA.
Journal of neonatal-perinatal medicine
|June 16, 2025
概括
在劳动和分娩单位的尿液药物查不成比例地影响黑人和西班牙裔患者. 制定基于证据的政策可以帮助减少这些做法中的偏见.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 健康 公平 卫生 公平
背景情况:
- 在分娩单位的尿液药物查 (UDS) 是常见的.
- 当前的查实践可能受到隐性偏见的影响.
- 需要更多的公平和基于证据的政策.
研究的目的:
- 分析在劳动和分娩单位接受UDS的患者的人口统计和特征.
- 识别UDS实践中的模式和潜在偏见.
- 为制定公平查政策提供信息.
主要方法:
- 在奥马哈三家医院对509例UDS病例进行了回顾性图表审查.
- 分析患者的人口统计 (年龄,种族,种族,保险).
- 评估查的原因,同意和结果.
主要成果:
- 黑人患者 (11.6%的人口) 占UDS的26.2%.
- 西班牙裔患者 (2.88%的人口) 占UDS的13.4%.
- 在11.3%的案件中记录了同意;在61.5%的案件中记录了理由.
结论:
- 具体的,基于证据的UDS政策可能会减少隐性偏见.
- 公平的政策可以帮助重建对边缘患者的信任.
- 解决UDS中的偏见对于改善孕产妇护理至关重要.
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