国家围产质量协会在解决孕产妇发病率和死亡率方面的作用
Stephanie Radke1, Ann Borders, Veronica Gillispie-Bell
1Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, Iowa; Northwestern University, Feinberg School of Medicine, Center for HealthCare Studies, and Obstetrics and Gynecology, University of Chicago Pritzker School of Medicine, Chicago, and Maternal-Fetal Medicine, Endeavor Health Evanston Hospital, Evanston, Illinois; the Department of Obstetrics and Gynecology, Ochsner Health, and the Bureau of Family Health, Office of Public Health, Louisiana Department of Health, New Orleans, Louisiana; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, and the Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
国家围产质量协作机构 (PQC) 通过实施基于证据的实践来减少孕产妇死亡率. PQC利用了QI方法和伙伴关系,扩展到医院护理之外的更广泛的健康因素.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 孕产妇健康 孕产妇健康
背景情况:
- 国家围产质量协作机构 (PQC) 在全国范围内建立.
- PQC的目标是降低可预防的孕产妇发病率和死亡率.
- 他们采用基于证据的实践来实现全州的实施.
研究的目的:
- 提供PQC策略和成功案例.
- 为了说明PQC如何实施质量改进 (QI) 方法.
- 突出PQC不断变化的范围.
主要方法:
- 审查四个州PQC使用的策略.
- 分析关键的QI策略:医院参与,数据审查,协作学习,技术援助和伙伴关系.
- 检查PQC的举措,重点是医院护理 (出血,高血压,阴道分娩).
主要成果:
- PQCs已经成功地改善了母亲的健康结果.
- 四个州的PQC证明了QI战略的有效实施.
- PQC正在扩大其重点,包括门诊和非产科设置.
结论:
- PQCs有效地降低了孕产妇的发病率和死亡率.
- 成功实施PQC依赖于强有力的参与和QI方法.
- PQC正在扩大,以解决孕产妇健康中的社会决定因素和非产科因素.
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