wow-inequalities/02-data/intermediate/wos_sample/89ac8335285319bfe71f3945b70a4fab-carter-ebony-b.-and/info.yaml

163 lines
5.6 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'Health inequities are not caused by personal failings or shortcomings
within disadvantaged groups, which can be erased with behavioral
interventions. The scope of the problem is much greater and will only
fully be addressed with the examination of the systems, structures, and
policies that perpetuate racism, classism, and an economic, class, race,
or gender divide between patients and the people who care for them.
Solution-oriented strategies to achieve health equity will remain
elusive if researchers continue to focus on behavior modification in
patients while failing to do harder work that includes focusing on the
institutions, community, and societal contexts in which pregnant women
are living; addressing social determinants of health; considering racism
in study design, analysis, and reporting; valuing the voices of
patients, practitioners, and researchers from historically disadvantaged
groups; disseminating research findings back to the community; and
developing policy and reimbursement structures to support care delivery
change that advances equitable outcomes. A case study shows us how group
prenatal care may be one viable vehicle through which to affect this
change. Group prenatal care is one of the few interventions shown to
improve pregnancy outcomes for black women. Studies of group prenatal
care have predominantly focused on the patient, but here we propose that
the intervention may exert its greatest impact on clinicians and the
systems in which they work. The underlying mechanism through which group
prenatal care works may be through increased quantity and quality of
patient and practitioner time together and communication. We hypothesize
that this, in turn, fosters greater opportunity for cross-cultural
exposure and decreases clinician implicit bias, explicit bias, and
racism, thus increasing the likelihood that practitioners advocate for
systems-level changes that directly benefit patients and improve
perinatal outcomes.
taged groups, which can be erased with behavioral interventions. The
scope of the problem is much greater and will only fully be addressed
with the examination of the systems, structures, and policies that
perpetuate racism, classism, and an economic, class, race, or gender
divide between patients and the people who care for them.
Solution-oriented strategies to achieve health equity will remain
elusive if researchers continue to focus on behavior modification in
patients while failing to do harder work that includes focusing on the
institutions, community, and societal contexts in which pregnant women
are living; addressing social determinants of health; considering racism
in study design, analysis, and reporting; valuing the voices of
patients, practitioners, and researchers from historically disadvantaged
groups; disseminating research findings back to the community; and
developing policy and reimbursement structures to support care delivery
change that advances equitable outcomes. A case study shows us how group
prenatal care may be one viable vehicle through which to affect this
change. Group prenatal care is one of the few interventions shown to
improve pregnancy outcomes for black women. Studies of group prenatal
care have predominantly focused on the patient, but here we propose that
the intervention may exert its greatest impact on clinicians and the
systems in which they work. The underlying mechanism through which group
prenatal care works may be through increased quantity and quality of
patient and practitioner time together and communication. We hypothesize
that this, in turn, fosters greater opportunity for cross-cultural
exposure and decreases clinician implicit bias, explicit bias, and
racism, thus increasing the likelihood that practitioners advocate for
systems-level changes that directly benefit patients and improve
perinatal outcomes. Key words: centering pregnancy, group prenatal care,
health equity, racism'
affiliation: 'Carter, EB (Corresponding Author), Washington Univ, Sch Med, Dept Obstet
\& Gynecol, Div Maternal Fetal Med, St Louis, MO 63110 USA.
Carter, Ebony B., Washington Univ, Sch Med, Dept Obstet \& Gynecol, Div Maternal
Fetal Med, St Louis, MO 63110 USA.
EleVATE Women Collaborative, St Louis Integrated Hlth Network, St Louis, MO USA.
Mazzoni, Sara E., Univ Washington, Sch Med, Dept Obstet \& Gynecol, Div Gen Obstet
\& Gynecol, Seattle, WA 98195 USA.'
author: Carter, Ebony B. and Mazzoni, Sara E. and Collaborative, EleVATE Women
author-email: ebcarter@wustl.edu
author_list:
- family: Carter
given: Ebony B.
- family: Mazzoni
given: Sara E.
- family: Collaborative
given: EleVATE Women
da: '2023-09-28'
doi: 10.1016/j.ajog.2020.11.040
earlyaccessdate: MAR 2021
eissn: 1097-6868
files: []
issn: 0002-9378
journal: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
keywords: centering pregnancy; group prenatal care; health equity; racism
keywords-plus: 'GROUP PRENATAL-CARE; PRETERM BIRTH; UNITED-STATES; DISPARITIES; EQUITY;
CENTERINGPREGNANCY; STUDENTS; IMPACT; BIAS'
language: English
month: APR
number: '4'
number-of-cited-references: '29'
orcid-numbers: Carter, Ebony/0000-0002-7620-4929
pages: 359-361
papis_id: 5ac7e48161aade1390dfceafe6dab3fd
ref: Carter2021paradigmshift
times-cited: '17'
title: A paradigm shift to address racial inequities in perinatal healthcare
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000637866800003
usage-count-last-180-days: '0'
usage-count-since-2013: '15'
volume: '224'
web-of-science-categories: Obstetrics \& Gynecology
year: '2021'