Perinatal Quality and Equity—Indicators That Address Disparities

Abstract

There is tremendous attention in maternal and neonatal disparities, particularly disparities of race and ethnicity and subsequent outcomes that continue despite calls to action. The literature has offered potential opportunities for exploring data related to racial and ethnic disparities, including the utilization of a race and ethnicity reporting dashboard. This article reviews definitions of perinatal quality and disparity and provides insight into the development of a nationally targeted race and ethnicity dashboard. This quarterly dashboard provides hospitals with specific key metric outcomes through the lens of race and ethnicity, provides a national benchmark for comparison, and creates a data platform for team exploration and comprehensive review of findings. An overview of the development of the dashboard is provided, and the selection of key maternal and neonatal metrics is reviewed. In addition, recommendations for data science strategic planning and nursing's role in metric development, analysis, and utilization are offered and key steps in accelerating disparity data into everyday clinical care are discussed.

Challenges and Opportunities in perinatal public health: The utility of perinatal health inequality dashboards in addressing disparities in maternal and neonatal outcomes

“…This data was subsequently cross-referenced with records from the O ce of National Statistics. Another instance of effective data collection and analysis is the dedicated advisory committee in the US, which assesses available metrics using the National Perinatal Information Centre (NPIC) report 22 . This document discusses pregnancy outcomes and discharge demographics for both mothers and newborns.…”

Atteindre l’équité en matière de santé reproductive et d’issues de grossesse pour les personnes noires au Canada

“…Une étude menée en 2023 a conclu que la présence de prestataires de soins de santé noir(e)s était associée à une amélioration de la santé de la population 14 . Les préjugés implicites et explicites au sein du système de santé limitent l’accès des personnes noires aux soins génésiques, ce qui entraîne des soins sous-optimaux 15 , 16 . Il faut s’attaquer activement aux préjugés à l’échelle systémique pour déconstruire les disparités, les réduire et appuyer l’accès équitable à des soins de haute qualité pour la patientèle noire qui reçoit des soins obstétricaux 15 .…”

“…Les préjugés implicites et explicites au sein du système de santé limitent l’accès des personnes noires aux soins génésiques, ce qui entraîne des soins sous-optimaux 15 , 16 . Il faut s’attaquer activement aux préjugés à l’échelle systémique pour déconstruire les disparités, les réduire et appuyer l’accès équitable à des soins de haute qualité pour la patientèle noire qui reçoit des soins obstétricaux 15 . Le principe de souveraineté et la mobilisation sont des composantes essentielles pour déconstruire les préjugés déterminés par la société et subis par les familles noires 11 , 12 .…”

Achieving equity in reproductive care and birth outcomes for Black people in Canada

“… 14 Implicit and explicit bias within the health care system limits Black people’s access to reproductive health care, leading to substandard care. 15 , 16 Bias must be actively addressed at the systems level to deconstruct and correct disparities and support equitable access to high quality care for Black antenatal and birthing patients. 15 Sovereignty and engagement are essential components of deconstructing socially determined harms on Black families.…”

“… 15 , 16 Bias must be actively addressed at the systems level to deconstruct and correct disparities and support equitable access to high quality care for Black antenatal and birthing patients. 15 Sovereignty and engagement are essential components of deconstructing socially determined harms on Black families. 11 , 12 Using both the recommendations of the Alliance for Healthier Communities 6 and the Canadian Institute for Health Information (CIHI), 17 organizations, researchers, policy-makers, and clinicians who plan studies or clinical guidelines affecting Black people must, at minimum, include Black researchers, clinicians, learners, leaders, and community representatives on research teams, in the codesign, execution, and culturally appropriate translation of research that will affect Black communities.…”