提高孕产妇保健质量和成果:妊娠医疗之家评估。

Lisa M Schilling, Brittney R Fraumeni, Amy S Nacht, Alison G Abraham, Hannah D Bauguess, Gregory Matesi, Melanie E Fringuello, Leah Rashidyan, Sarah J Billups
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引用次数: 0

摘要

美国目前的孕产妇保健建议侧重于监测胎儿发育、处理妊娠并发症和筛查行为健康问题。在这些建议中,往往缺少了对孕期面临社会经济或行为健康挑战的患者的支持。妊娠医疗之家(PMH)是一个多学科的孕产妇保健团队,由护士导航员作为患者的代言人,以提高患者所接受的护理质量以及母婴的健康结果。通过对 PMH 患者和参照组进行双变量比较,以及对项目组成员和 PMH 毕业生进行访谈,该评估对一所学术医科大学的 PMH 对患者护理和分娩结果的影响进行了评估。该 PMH 增加了孕期抑郁症筛查,并增加了行为保健转诊。这项评估没有发现产妇或婴儿的出生结果有任何改善。访谈发现了明显的成功之处和需要改进的地方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Maternal Health Care Quality and Outcomes: Evaluation of a Pregnancy Medical Home.

Current maternal care recommendations in the United States focus on monitoring fetal development, management of pregnancy complications, and screening for behavioral health concerns. Often missing from these recommendations is support for patients experiencing socioeconomic or behavioral health challenges during pregnancy. A Pregnancy Medical Home (PMH) is a multidisciplinary maternal health care team with nurse navigators serving as patient advocates to improve the quality of care a patient receives and health outcomes for both mother and infant. Using bivariate comparisons between PMH patients and reference groups, as well as interviews with project team members and PMH graduates, this evaluation assessed the impact of a PMH at an academic medical university on patient care and birth outcomes. This PMH increased depression screenings during pregnancy and increased referrals to behavioral health care. This evaluation did not find improvements in maternal or infant birth outcomes. Interviews found notable successes and areas for program enhancement.

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