Accessing peripartum care in an internal medicine clinic: Barriers, interventions, and racial disparities.
Autor: | Malani K; The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA., Arbaugh S; The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA., Bilodeau C; The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.; Division of Obstetric Medicine, Women's Medicine Collaborative, Providence, Rhode Island, USA. |
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Jazyk: | angličtina |
Zdroj: | Obstetric medicine [Obstet Med] 2024 May 23, pp. 1753495X241255812. Date of Electronic Publication: 2024 May 23. |
DOI: | 10.1177/1753495X241255812 |
Abstrakt: | Objective: This study evaluates obstacles peripartum patients with additional medical needs face and services that would be helpful in obtaining this care. Study Design: A survey was administered to 226 patients at a clinic specializing in internal medicine care for peripartum patients. Data was analyzed through descriptive statistics and linear regression. Results: The three most reported barriers that interfered with attending medical appointments included the inability to leave work (41%), being too busy (33%), and lack of childcare (29%). Hispanic and Black patients reported more barriers to care as compared to White patients. The three most reported interventions that would be helpful in attending appointments were more virtual appointment options (38%), increased insurance coverage (31%), and provision of childcare (30%). Interventions were widely rated as helpful regardless of barriers faced and race reported. Conclusions: Targeted interventions are needed to enhance access to peripartum care, especially for patients from marginalized racial and ethnic populations. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.) |
Databáze: | MEDLINE |
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