دورية أكاديمية
Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care.
| العنوان: | Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care. |
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| المؤلفون: | Glassgow AE; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.; Department of Pediatrics, and College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Wagner-Schuman M; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.; Department of Psychiatry, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Knepper A; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Holicky A; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Angulo M; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Handler A; Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA., Harris B; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Hickey E; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Manrique Y; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Mauro A; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Rodriguez A; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Schulte J; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Scott S; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Wainwright S; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA., Caskey R; Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.; Department of Pediatrics, and College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. |
| المصدر: | Population health management [Popul Health Manag] 2023 Oct; Vol. 26 (5), pp. 275-282. Date of Electronic Publication: 2023 Sep 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert Country of Publication: United States NLM ID: 101481266 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1942-7905 (Electronic) Linking ISSN: 19427891 NLM ISO Abbreviation: Popul Health Manag Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New Rochelle, NY : Mary Ann Liebert |
| مستخلص: | The United States is facing a maternal health crisis with increasing rates of severe maternal morbidity and mortality. To improve maternal health and promote health equity, the authors developed a novel 2-generation model of postpartum and pediatric care. This article describes the Two-Generation Clinic (Two-Gen) and model of care. The model combines a dyadic strategy for simultaneous maternal and pediatric care with the collaborative care model in which seamless primary and behavioral health care are delivered to address the physical health, behavioral health, and social service needs of families. The transdisciplinary team includes primary care physicians, nurse practitioners, psychiatrists, obstetrician-gynecologists, social workers, care navigators, and lactation specialists. Dyad clinic visits are coscheduled (at the same time) and colocated (in the same examination room) with the same primary care provider. In the Two-Gen, the majority (89%) of the mothers self-identify as racial and ethnic minorities. More than 40% have a mental health diagnosis. Almost all mothers (97.8%) completed mental health screenings, >50.0% have received counseling from a social worker, 17.2% had a visit with a psychiatrist, and 50.0% received lactation counseling. Over 80% of the children were up to date with their well-child visits and immunizations. The Two-Gen is a promising model of care that has the potential to inform the design of postpartum care models and promote health equity in communities with the highest maternal health disparities. |
| فهرسة مساهمة: | Keywords: 2-generation care; collaborative care; dyadic care; maternal health; maternal mental health; postpartum care |
| تواريخ الأحداث: | Date Created: 20230907 Latest Revision: 20231012 |
| رمز التحديث: | 20231013 |
| DOI: | 10.1089/pop.2023.0059 |
| PMID: | 37677001 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1942-7905 |
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| DOI: | 10.1089/pop.2023.0059 |