建立孕产妇健康工作组:从伊利诺伊州,北卡罗来纳州和俄俄州 (2019-2024年) 学到的教训
Abigail Holicky1, Allison Stevens2,3, Rebecca Severin4,5
1College of Medicine, University of Illinois Chicago, Chicago, IL, USA.
Public health reports (Washington, D.C. : 1974)
|July 8, 2025
概括
在三个州制定了国家孕产妇健康工作组 (MHTFs) 和战略计划 (MHSPs),以改善孕产妇健康结果. 尽管面临挑战和流行病的干扰,这些举措取得了进展,突出了持续资金和与其他国家努力整合的需要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 孕产妇健康政策 孕产妇健康政策
背景情况:
- 2019年联邦资金支持州产妇健康创新计划,要求在9个州建立州级产妇健康工作组 (MHTF) 和产妇健康战略计划 (MHSP).
- 本案例研究研究了伊利诺伊州,北卡罗来纳州和俄俄州的MHTF和MHSP的开发和实施,重点关注行政方法和战略规划流程.
研究的目的:
- 介绍国家一级孕产妇健康工作组 (MHTFs) 和孕产妇健康战略计划 (MHSPs) 的开发和实施的观点.
- 确定在三个不同州建立和运行这些孕产妇健康计划的共同方法,挑战和成功.
主要方法:
- 使用了比较的案例研究方法,分析了伊利诺伊州,北卡罗来纳州和俄俄州在开发MHTF和MHSP方面的经验.
- MHTF的管理有所不同:公立大学工作人员 (伊利诺伊州),合同工作人员 (北卡罗来纳州) 和州公共卫生部门工作人员 (俄俄州).
- 国家数据,产妇死亡率审查委员会的建议,现有计划和MHTF成员的专业知识为MHSP提供了信息.
主要成果:
- 这三个州都通过利用现有的伙伴关系和形成新的联系,成功建立了多学科的MHTF.
- 关键的MHSP主题包括公共教育,医疗保健提供者培训,围产阶段劳动力扩张和加强心理健康/物质使用服务.
- 常见的挑战涉及成员参与,定义活动范围和证明有效性,但尽管有COVID-19大流行,仍取得了进展.
结论:
- 尽管在COVID-19大流行期间实施,但这三个州都成功开发了MHSP,并保持了其倡议的进展.
- 持续的资金对于MHTF和MHSP的成功和可持续性至关重要.
- 整合MHTF与其他国家一级的孕产妇健康工作可以增强协同作用,减少成员负担,并确保长期可行性.
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