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Semin Perinatol. 2017 Aug;41(5):266-272. doi: 10.1053/j.semperi.2017.04.002. Epub 2017 Jul 21.

Improving hospital quality to reduce disparities in severe maternal morbidity and mortality.

Author information

1
Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: elizabeth.howell@mountsinai.org.
2
Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY; Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Biostatistics Sorbonne Paris Cité, DHU Risks in pregnancy, Paris Descartes University, Paris, France.

Abstract

Significant racial/ethnic disparities in maternal morbidity and mortality exist in the United States. Black women are 3-4 times more likely to die a pregnancy-related death as compared with white women. Growing research suggests that hospital quality may be a critical lever for improving outcomes and narrowing disparities. This overview reviews the evidence demonstrating that hospital quality is related to maternal mortality and morbidity, discusses the pathways through which these associations between quality and severe maternal morbidity generate disparities, and concludes with a discussion of possible levers for action to reduce disparities by improving hospital quality.

KEYWORDS:

Disparities; Quality; Severe maternal morbidity

PMID:
28735811
PMCID:
PMC5592149
DOI:
10.1053/j.semperi.2017.04.002
[Indexed for MEDLINE]
Free PMC Article

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