Becoming an Antiracist Neonatal Community.

Ashlee J Vance, Tracey Bell
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引用次数: 6

Abstract

Background: There are pervasive and documented disparities in maternal and infant outcomes related to race and ethnicity. Critical awareness is growing in our current cultural environment about strategies to improve health equity, the need to challenge implicit bias, and dismantle racism in healthcare to decrease racial health inequities.

Methods: In this article, we provide a summary of health inequities that exist within the perinatal/neonatal population and offer strategies for initiating conversations and improving health equity by challenging bias and increasing diversity.

Results: Transformative leaders must understand the evidence related to health disparities, understand social drivers of inequity issues, and identify solutions to influence change.

Implications for practice: With heightened awareness and examination of implicit bias, we can improve care for all infants and their families.

Implications for research: We need to continue research and quality improvement efforts to improve health equity. Furthermore, research is needed that focus on social determinants of health as drivers of preterm delivery and birth complications, rather than biological (eg, racialized) factors.Video Abstract available at:https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx?autoPlay=false&videoId=42.

成为一个反种族主义的新生儿社区。
背景:与种族和民族有关的孕产妇和婴儿结局普遍存在记录差异。在我们当前的文化环境中,关于改善健康公平的战略、挑战隐性偏见的必要性和消除医疗保健中的种族主义以减少种族健康不平等的关键意识正在增长。方法:在本文中,我们总结了围产期/新生儿人群中存在的卫生不公平现象,并提供了通过挑战偏见和增加多样性来启动对话和改善卫生公平的策略。结果:变革型领导者必须了解与健康差距相关的证据,了解不平等问题的社会驱动因素,并确定影响变革的解决方案。对实践的启示:随着对隐性偏见的认识和检查的提高,我们可以改善对所有婴儿及其家庭的照顾。对研究的影响:我们需要继续开展研究和质量改进工作,以改善卫生公平。此外,需要进行研究,重点关注作为早产和分娩并发症驱动因素的健康社会决定因素,而不是生物(例如种族化)因素。视频摘要可在:https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx?autoPlay=false&videoId=42。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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