Using quality improvement to address social determinants of health needs in perinatal care

IF 3.2 3区 医学 Q1 OBSTETRICS & GYNECOLOGY
Patricia Lee King , Aleena Surenian , Renee M. Odom , Kshama Shah , SuYeon Lee , Elena Jenkins , Ann Borders
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引用次数: 0

Abstract

There are unacceptable racial inequities in perinatal outcomes in the United States. Social determinants of health (SDOH) are associated with health outcomes and contribute to disparities in maternal and newborn health. In this article, we (1) review the literature on SDOH improvement in the perinatal space, (2) describe the SDOH work facilitated by the Illinois Perinatal Quality Collaborative (ILPQC) in the Birth Equity quality improvement initiative, (3) detail a hospital's experience with implementing strategies to improve SDOH screening and linkage to needed resources and services and (4) outline a framework for success for addressing SDOH locally. A state-based quality improvement initiative can facilitate implementation of strategies to increase screening for SDOH. Engaging patients and communities with specific actionable strategies is key to increase linkage to needed SDOH resources and services.

利用质量改进满足围产期保健中的社会决定因素健康需求
在美国,围产期结果中存在令人无法接受的种族不平等。健康的社会决定因素(SDOH)与健康结果相关,并导致孕产妇和新生儿健康的差异。在本文中,我们将(1)回顾围产领域 SDOH 改善方面的文献,(2)介绍伊利诺伊州围产质量合作组织(ILPQC)在 "出生公平 "质量改善计划中推动的 SDOH 工作,(3)详细介绍一家医院在实施改善 SDOH 筛查及所需资源和服务链接策略方面的经验,(4)概述在当地成功解决 SDOH 问题的框架。以州为基础的质量改进计划可以促进实施增加 SDOH 筛查的策略。让患者和社区参与到具体可行的策略中,是增加与所需 SDOH 资源和服务联系的关键。
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来源期刊
Seminars in perinatology
Seminars in perinatology 医学-妇产科学
CiteScore
5.80
自引率
2.90%
发文量
97
审稿时长
6-12 weeks
期刊介绍: The purpose of each issue of Seminars in Perinatology is to provide authoritative and comprehensive reviews of a single topic of interest to professionals who care for the mother, the fetus, and the newborn. The journal''s readership includes perinatologists, obstetricians, pediatricians, epidemiologists, students in these fields, and others. Each issue offers a comprehensive review of an individual topic, with emphasis on new developments that will have a direct impact on their practice.
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