Maternity care access,quality, and outcomes: A systems-level perspective on research,clinical, and policy needs |
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Affiliation: | 1. Department of Pathology, National Hospital Organization, Osaka National Hospital, Osaka, 5400006, Japan;2. Department of Pathology, Yao Municipal Hospital, Yao, 5810069, Japan;3. Department of Pathology and Applied Neurobiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, 6028566, Japan;4. Department of Surgery, Breast Surgery, National Hospital Organization, Osaka National Hospital, Osaka, 5400006, Japan;1. Department of Pathology, Seoul National University College of Medicine, Seoul, 110-799, Republic of Korea;2. Laboratory of Epigenetics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, 110-744, Republic of Korea;3. Medical Genomics Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, 305-806, Republic of Korea;1. Centre for Molecular and Translational Oncology (COMT), Department of Biomedical, Biotechnological and Translational Sciences, Unit of Pathological Anatomy University and University Hospital of Parma, 43126 Parma, Italy;2. Institute of Pathology, Catholic University, 00168 Rome, Italy |
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Abstract: | The quality of maternity care in the United States is variable, and access to care is tenuous for rural residents, low-income individuals, and people of color. Without accessible, timely, and high-quality care, certain clinical and sociodemographic characteristics of individuals may render them more vulnerable to poor birth outcomes. However, risk factors for poor birth outcomes do not occur in a vaccum; rather, health care financing, delivery, and organization as well as the policy environment shape the context in which patients seek and receive maternity care. This paper describes the relationship between access and quality in maternity care and offers a systems-level perspective on the innovations and strategies needed in research, clinical care, and policy to improve equity in maternal and infant health. |
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Keywords: | Maternity care Equity Disparities Race Rural health Access Quality Birth outcomes |
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