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Health Equity Morbidity and Mortality Conferences in Obstetrics and Gynecology.
Obstetrics and Gynecology ( IF 7.2 ) Pub Date : 2021-11-04 , DOI: 10.1097/aog.0000000000004575
Keith Reisinger-Kindle 1 , Divya Dethier , Victoria Wang , Preetha Nandi , Erin Tracy Bradley , Megan L Evans , Luu Doan Ireland , David Dhanraj , Allison S Bryant
Affiliation  

Maternal mortality and morbidity continue to occur at unacceptably high levels in the United States, with communities of color experiencing significantly higher rates than their White counterparts, even after adjustment for confounding factors such as socioeconomic status. Many obstetrics and gynecology departments across the country have begun to incorporate routine discussion and analysis of health equity into peer review and educational processes, including grand rounds and morbidity and mortality conferences. Despite the desire and drive, there is little published guidance on best practices for incorporation of an equity component into these conferences. This document outlines the current processes at four academic institutions to highlight the variety of ways in which health equity and social justice can be incorporated when analyzing patient experiences and health outcomes. This commentary also provides a list of specific recommendations based on the combined experiences at these institutions so that others across the country can incorporate principles of health equity into their peer-review processes.

中文翻译:

妇产科健康公平发病率和死亡率会议。

在美国,孕产妇死亡率和发病率继续以令人无法接受的高水平出现,有色人种社区的发病率明显高于白人社区,即使在调整了社会经济地位等混杂因素后也是如此。全国许多妇产科已经开始将健康公平的常规讨论和分析纳入同行评审和教育过程,包括大查房和发病率和死亡率会议。尽管有这样的愿望和动力,但很少有关于将股权成分纳入这些会议的最佳实践指南。本文件概述了四个学术机构的当前流程,以强调在分析患者体验和健康结果时可以结合健康公平和社会正义的各种方式。该评论还根据这些机构的综合经验提供了一系列具体建议,以便全国其他机构可以将健康公平原则纳入其同行评审过程。
更新日期:2021-11-04
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