产妇护理沙漠:迫切需要金融解决方案的公共卫生问题
Melissa Bartick1,2, Colleen Payton3, Briana Jegier4
1Department of Medicine, Mount Auburn Hospital, 330 Mount Auburn Street, Cambridge, MA, 02138, USA. melissa.bartick@mah.org.
在美国,产妇护理沙漠正在扩大,增加了农村,低收入和黑人妇女的风险. 需要政府采取紧急行动,改善获得产科护理的机会,防止产妇死亡.
科学领域:
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
- 孕产妇健康 孕产妇健康
背景情况:
- 美国的孕产妇护理越来越难以获得,孕产妇护理人数增加.
- 超过80%的美国孕产妇死亡是可以预防的,但获得产科护理的机会正在下降.
- 与类似的高收入国家相比,美国面临较高的孕产妇和婴儿死亡率.
研究的目的:
- 综合总结与产科关闭相关的问题.
- 概述以前提出的关于获得产妇护理的解决方案的缺点.
- 提出新的解决方案,以扩大获得和维持产科单位.
主要方法:
- 对各种来源进行分析,以检查产科关闭.
- 评估现有和拟议的对获得产妇护理的干预措施.
- 确定导致产妇护理缺失的因素.
主要成果:
- 产妇护理沙漠不成比例地影响农村,低收入和黑人妇女,特别是在美国南部.
- 医院的财务压力和人员短缺是产科关闭关键驱动因素.
- 长途旅行到产科护理增加了在紧急情况下的风险,如出血.
结论:
- 政府的干预对于扩大获得和维持产科单位至关重要.
- 建议的解决方案包括增加医疗补助补偿金和扩大产周劳动力.
- 迫切需要采取行动,以应对因产妇护理机会下降所带来的公共卫生威胁.
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