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关于公平劳动和交付物质使用查协议的影响:一项回顾性队列研究

Jennifer J M Cate¹, Siera Lunn², Adwoa Baffoe-Bonnie²

¹Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina, United States.

American journal of perinatology

|December 29, 2025

概括

实施新的产科协议减少了尿液药物查 (UDS),并改善了验证的查和患者同意. 虽然UDS的种族差异有所减少,但保险支付人的差异仍然存在,这表明在怀孕期间公平的物质使用查方面存在挑战.

科学领域:

产科和妇科产科和妇科
成药物药物药物药物
医疗保健服务研究医疗服务研究

背景情况:

主要医学协会建议在怀孕期间进行普遍的药物使用查.
在物质使用查和生物测试方面,种族和社会经济差异仍然存在.
尿液药物查 (UDS) 不是普遍推的,只应在改变管理时使用.

研究的目的:

评估产科药物使用查协议对查实践和差异的影响.
评估验证查的变化,UDS指示文档,患者同意,以及种族,种族和支付机构之间的UDS差异.

主要方法:

使用电子健康记录数据的回顾性队列研究,在协议实施之前和之后.
在UDS遭遇者中评估,记录,验证查,UDS指示和患者同意.
分析了种族,民族和付款人的与UDS的关联,使用了通用估计方程.

主要成果:

干预后,UDS频率显著下降 (1.9%与7.8%相比).
干预后,UDS的种族差异减少了;黑人有更高的UDS干预前,但没有干预后的几率.
经过验证的文件查,UDS指示和患者同意在干预后显著增加.
根据保险支付人,观察到在UDS中存在持续的差异.

结论:

实施产科药物使用查协议减少了UDS频率,改善了查质量和文档.
该协议成功地减少了UDS的种族差异,但基于付款人的差异仍然存在.
持续存在低于最佳的查实践,强调需要继续努力确保公平的护理.

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