评估一项多方面的倡议,以减少种族和种族不平等在识别母亲的物质使用:成功,挑战和经验教训
Melanie Besculides1, Nicklas Sullivan Klepser1, Parul Agarwal1
1Icahn School of Medicine at Mount Sinai Department of Population Health Science and Policy.
Research square
|October 3, 2025
概括
基本产科成检查 (BOAS) 计划减少了产前物质使用查中的种族差异. 这种标准化的方法提高了公平性和临床医生/患者接受度,显示了减少偏见测试和儿童保护服务转诊的潜力.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 在产前物质使用查和儿童保护服务 (CPS) 转诊方面,尽管物质使用率相似,但种族和民族差异仍然存在.
- 现有的选方法可能会导致不平等,需要标准化,公正的方法.
研究的目的:
- 通过RE-AIM框架评估基本产科成检查 (BOAS) 计划的影响和实施情况.
- 评估该倡议在减少产前物质使用查和随后转诊方面的差异方面的有效性.
主要方法:
- 利用RE-AIM框架对两个分娩设施的BOAS倡议进行评估.
- 分析了21,342名孕妇和医疗保健提供者的电子健康记录数据,社会工作推和定性反.
- 在2022年1月至2023年11月期间收集的数据.
主要成果:
- 达到99%的查合规性,其中0.45%的患者查阳性.
- 71.9%的阳性选结果导致社会工作者转诊.
- 定性数据表明接受度很高,公平感知得到改善,并成功整合EHR,尽管仍然存在一些关于可持续性和感知不平等的担忧.
结论:
- 博斯倡议成功实施,在患者和临床医生中获得高度认可.
- 标准化查显示了强大的潜力,以减轻偏见的毒理学测试和减少不必要的儿童保护服务转介.
- 需要继续努力,以解决持续存在的担忧,并确保长期可持续性.
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