Antibias Efforts in United States Maternity Care: A Scoping Review of the Publicly Funded Health Equity Intervention Pipeline

Garrett, Sarah B.; Walia, Anjali; Miller, Fiona A.; Tahir, Peggy; Jones, Linda; Harris, J. Ieuan; Powell, Breezy; Chambers, Brittany D.; Simon, Melissa A.

doi:10.1097/grf.0000000000000761

Cited by 5 publications

(2 citation statements)

References 39 publications

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“…Even without a legal mandate, public and private funders, IBT curricula developers, and health care leaders should work collectively to integrate more stakeholder-endorsed components into future IBT offerings, then rigorously evaluate and refine these approaches. 41 Mitigating qualities of health care settings known to exacerbate the effects of clinician bias (e.g., understaffing, time pressure) could additionally further antibias reduction. 32 , 54 , 62 …”

Section: Discussionmentioning

confidence: 99%

Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders

Garrett,

Jones,

Montague

et al. 2023

Health Equity

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Introduction: In an attempt to address health inequities, many U.S. states have considered or enacted legislation requiring antibias or implicit bias training (IBT) for health care providers. California's “Dignity in Pregnancy and Childbirth Act” requires that hospitals and alternative birthing centers provide IBT to perinatal clinicians with the goal of improving clinical outcomes for Black women and birthing people. However, there is as yet insufficient evidence to identify what IBT approaches, if any, achieve this goal. Engaging the experiences and insights of IBT stakeholders is a foundational step in informing nascent IBT policy, curricula, and implementation. Methods: We conducted a multimethod community-based participatory research study with key stakeholders of California's IBT policy to identify key challenges and recommendations for effective clinician IBT. We used focus groups, in-depth interviews, combined inductive/deductive thematic analysis, and multiple techniques to promote rigor and validity. Participants were San Francisco Bay Area-based individuals who identified as Black or African American women with a recent hospital birth ( n =20), and hospital-based perinatal clinicians ( n =20). Results: We identified numerous actionable challenges and recommendations regarding aspects of (1) state law; (2) IBT content and format; (3) health care facility IBT implementation; (4) health care facility environment; and (5) provider commitment and behaviors. Patient and clinician insights overlapped substantially. Many respondents felt IBT would improve outcomes only in combination with other antiracism interventions. Health Equity Implications: These stakeholder insights offer policy-makers, health system leaders, and curriculum developers crucial guidance for the future development and implementation of clinician antibias interventions.

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Section: Discussionmentioning

confidence: 99%

Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders

Garrett,

Jones,

Montague

et al. 2023

Health Equity

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition to diversifying the workforce, ensuring the workforce is trained in antiracist and antibias approaches is critical. The scoping review by Garrett et al5 reveals the paucity of public funding for projects that have an embedded goal of advancing antibias training research in maternal health and provides a call to action to funders to support projects that have potential to advance antibias training in this space.…”

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confidence: 99%