社区主导的解决方案,以建立更安全,更公平的出生地点:巴尔的摩患者作为合作伙伴项目项目
Lashelle Stewart1, Maxine Reed-Vance1, Teneele Bruce1
1Baltimore Healthy Start, Inc, 610 N. Chester Street, Baltimore, MD, 21205, USA.
Maternal and child health journal
|December 22, 2025
概括
据报道,黑人母亲在分娩期间感到被忽视和被排除在护理决策之外,这凸显了需要改善患者-提供者沟通的需要. 解决这些差异对于提高母亲健康结果至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 提高质量 提高质量
背景情况:
- 孕产妇健康结果的种族差异与患者与提供者关系问题有关.
- 黑人产妇患者在分娩期间经常经历沟通失败.
研究的目的:
- 描述"作为合作伙伴的患者"产妇护理质量改善倡议.
- 为了解决影响黑人母亲的患者-提供者沟通失败.
主要方法:
- 与孕前症基金会合作,收集34名患有孕产妇健康并发症的黑人妇女的故事 (2020-2021).
- 开展聚焦小组,收集分娩经验和建议.
- 在医院论坛上提出发现和建议,超过100名医疗保健专业人员参加了论坛.
主要成果:
- 妇女报告说,她们觉得在疼痛和分娩计划方面没有被倾听.
- 参与者感到被排除在护理决策之外,并认为提供者因种族和社会经济地位 (医疗补助覆盖) 而低估了他们的投入.
- 妇女提供了改善产妇护理质量的建议.
结论:
- "作为合作伙伴的患者"倡议强调了改善黑人妇女产妇护理的关键领域.
- 解决提供者偏见和加强患者提供者沟通对于公平的孕产妇健康结果至关重要.
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