对于接受社区产科护理的退伍军人来说,产科质量措施的感知重要性
Laël Nethania Ngangmeni1,2, Kate F Wallace3, Aimee Kroll-Desrosiers4,3,5
1Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 North Lake Avenue, Worcester, MA, 01655, USA. lael.ngangmeni@umassmed.edu.
黑人,土著和有色人种 (BIPOC) 退伍军人在选择产前护理提供者时优先考虑地理位置和保险. 他们重视婴儿福利措施,但往往无法获得高质量的数据.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 美国产科护理中持续存在的种族和民族差异.
- 退伍军人通过VA社区护理网络 (CCN) 获得产科护理.
- 对BIPOC退伍军人产前护理决策的有限理解.
研究的目的:
- 描述黑人,土著和有色人种 (BIPOC) 退伍军人如何选择产前护理提供者.
- 评估BIPOC退伍军人对医院级产科质量措施的看法.
主要方法:
- 与27名怀孕的BIPOC退伍军人进行了半结构化的电话调查.
- 评估影响供应商选择的因素.
- 联合委员会产科质量措施的评级重要性 (剖腹产,新生儿并发症,母乳养).
主要成果:
- 提供者选择受到地理接近 (48.2%) 和VA保险 (44.4%) 的影响.
- 新生儿并发症 (66.7%) 和剖腹产 (48.1%) 被评为"非常重要".
- 74.1%的退伍军人不知道如何获取质量数据.
结论:
- 在选择提供者时,BIPOC退伍军人优先考虑婴儿福利措施和实际因素 (位置,保险).
- 可访问,相关的高质量信息可以为退伍军人提供明智的产前护理决策.
- 解决数据可访问性差距对于改善护理公平至关重要.
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