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- Title
Improving Postpartum Care: Identifying Opportunities to Reduce Postpartum Emergency Room Visits Among Publicly-Insured Women of Color.
- Authors
Harrell, Taylor; Howell, Elizabeth A.; Balbierz, Amy; Guel, Luz; Pena, Juan; Janevic, Teresa; Gorbenko, Ksenia
- Abstract
Background/Objectives: The purpose of this study was to explore the postpartum experiences of publicly-insured women of color, and identify how postpartum care can be improved to reduce hospital emergency department usage after delivery. Methods: We conducted four focus groups with 18 publicly-insured women who primarily self-identified as Black and/or Latina and gave birth between June 1, 2019 and May 1, 2020. We used inductive qualitative analysis to identify prominent themes from focus group discussions. Results: We identified four domains: (1) lack of access to and communication with a medical team; (2) lack of preparation; (3) value of social support; and (4) participant-identified opportunities for improvement. Conclusions for Practice: This study describes the postpartum experiences of publicly-insured women of color with the objective of identifying areas for intervention to reduce postpartum emergency department usage. Our findings suggest that focused efforts on enhancing continuity of care to increase healthcare access, strengthening patient-provider communication by training providers to recognize unconscious bias, increasing postpartum preparation by adapting teaching materials to an online format, and engaging women's caregivers throughout the pregnancy course to bolster social support, may be beneficial.
- Subjects
NEW York (State); PREVENTION of racism; PSYCHOLOGY of Black people; MEDICAL quality control; HOSPITAL emergency services; FOCUS groups; HEALTH services accessibility; SOCIAL support; HISPANIC Americans; MEDICAL care use; PATIENTS' attitudes; EXPERIENCE; CONTINUUM of care; QUALITATIVE research; QUALITY assurance; TEACHING aids; COMMUNICATION; RESEARCH funding; HEALTH equity; MEDICAID; POSTNATAL care; PATIENT-professional relations; JUDGMENT sampling; PATIENT education; EMERGENCY room visits
- Publication
Maternal & Child Health Journal, 2022, Vol 26, Issue 4, p913
- ISSN
1092-7875
- Publication type
Article
- DOI
10.1007/s10995-021-03282-5