美国产前护理利用率的差异
Pearl A McElfish1, Aaron R Caldwell2, James P Selig2
1College of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA. pacmelfish@uams.edu.
种族和经济因素在美国显著影响产前护理的获取 拥有医疗补助保险的妇女和少数种族/族群,特别是夏威夷原住民/太平洋岛民和美洲印第安人/阿拉斯加原住民妇女,面临不充分产前护理的更大风险.
科学领域:
- 围产期健康 围产期健康
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 产前护理的利用对于母亲和婴儿的健康结果至关重要.
- 现有的研究表明,基于社会经济地位和种族/种族,在获得护理方面存在潜在的差异.
研究的目的:
- 通过种族/种族和纳税人来检查产前护理利用的差异.
- 通过三个指标来评估不充分的产前护理:不充分的访问,迟到的启动和没有护理.
主要方法:
- 来自国家卫生统计中心 (2014-2022) 的美国出生记录分析.
- 研究人口包括超过3300万个单子活产儿.
- 缺乏足够的产前护理,以访问频率,开始时间和缺乏护理来定义.
主要成果:
- 出生中,有很大比例的产前护理不足:36.8%的护理不够,22.7%的护理迟到,1.8%的护理不够.
- 医疗补助计划覆盖的分娩与所有不充分的产前护理措施的更高概率有关.
- 种族/种族差异很明显,与白人相比,夏威夷原住民/太平洋岛民和美洲印第安人/阿拉斯加原住民女性面临着更高的风险.
结论:
- 围产期健康的种族/民族和经济差异是一个重大的国家关注.
- 医疗补助和私人保险妇女在产前护理利用率上的差异表明,政策修改可能会提高医疗补助受益人的获得权.
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