Journal article
Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action
Women's health issues, v 31(3), pp 204-218
01 May 2021
PMID: 33707142
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Many pregnant people find no bridge to ongoing specialty or primary care after giving birth, even when clinical and social complications of pregnancy signal need. Black, indigenous, and all other women of color are especially harmed by fragmented care and access disparities, coupled with impacts of racism over the life course and in health care.
Methods: We launched the initiative "Bridging the Chasm between Pregnancy and Health across the Life Course" in 2018, bringing together patients, advocates, providers, researchers, policymakers, and systems innovators to create a National Agenda for Research and Action. We held a 2-day conference that blended storytelling, evidence analysis, and consensus building to identify key themes related to gaps in care and root causes of inequities. In 2019, more than 70 stakeholders joined six working groups to reach consensus on strategic priorities based on equity, innovation, effectiveness, and feasibility.
Findings: Working groups identified six key strategic areas for bridging the chasm. These include: 1) progress toward eliminating institutional and interpersonal racism and bias as a requirement for accreditation of health care institutions, 2) infrastructure support for community-based organizations, 3) extension of holistic team-based care to the postpartum year and beyond, with integration of doulas and community health workers on the team, 4) extension of Medicaid coverage and new quality and pay-for-performance metrics to link maternity care and primary care, 5) systems to preserve maternal narratives and data across providers, and 6) alignment of research with women's lived experiences.
Conclusions: The resulting agenda presents a path forward to remedy the structural chasms in women's health care, with key roles for advocates, policymakers, researchers, health care leaders, educators, and the media. (C) 2021 Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health.
Metrics
Details
- Title
- Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action
- Creators
- Lois McCloskey - Boston UniversityJudith Bernstein - Boston UniversityBridging Chasm CollaborativeIrene E Headen - Drexel University
- Publication Details
- Women's health issues, v 31(3), pp 204-218
- Publisher
- Elsevier
- Number of pages
- 15
- Grant note
- NIH Office of Research on Women's Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Office of Research on Women's Health (ORWH) RO1 DK107528 / NIH, United States; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 6947-BUSPH / PCORI, United States; Patient-Centered Outcomes Research Institute - PCORI
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention; Drexel University
- Web of Science ID
- WOS:000653102400007
- Scopus ID
- 2-s2.0-85102277412
- Other Identifier
- 991020100055204721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Public, Environmental & Occupational Health
- Women's Studies