设计一个全州范围的医院股权倡议:一个定性形成性评估
Kelly M Bower1, Briana E Kramer2, Nicole Warren1
1Johns Hopkins School of Nursing, Baltimore, Maryland.
建议采取隐性偏见培训和系统级干预措施,以减少孕产妇健康差异. 这项研究收集了医院和专家的意见,以指导有效的公平计划的实施,解决障碍和促进者,以获得更好的结果.
科学领域:
- 医疗保健的公平性 医疗保健的公平性
- 孕产妇健康 孕产妇健康
- 隐含偏见培训 隐含偏见培训
背景情况:
- 建议卫生专业人员进行隐性偏见培训,以减少孕产妇健康不平等,但其有效性的证据有限.
- 专家们主张将偏见培训与医院的系统级公平干预相结合.
- 实施医院的孕产妇健康公平计划的可操作指导很少.
研究的目的:
- 为全州范围内的孕产妇健康公平倡议的设计和实施提供信息.
- 收集有关医院需求,偏好和专家投入的数据,用于偏见培训和系统级干预.
- 开发响应和有效的以公平为重点的计划.
主要方法:
- 使用深度访谈进行定性形成性评估.
- 采访了来自马里兰州分娩医院的孕产妇健康领导者和孕产妇健康公平专家.
- 探讨了当前的公平工作,战略,障碍和促进者.
主要成果:
- 与医院代表和专家进行了17次采访.
- 医院报告暗示偏见培训和系统级干预的经验有限.
- 参与者建议将干预措施与现有建议保持一致,并提出了实际实施方法.
结论:
- 培训工作对于了解医院障碍和在孕产妇健康公平倡议中支持需求至关重要.
- 这种理解可以提高实施干预措施的有效性.
- 为特定的医院环境量身定制方案是成功的关键.
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