Racial and ethnic disparities in outcomes after NICU discharge: An equity-focused model

Murosko, Daria; Peña, Michelle-Marie; Lorch, Scott A.

doi:10.1016/j.semperi.2022.151659

Cited by 2 publications

(1 citation statement)

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“…While we interviewed a limited number of participants, our study draws from a diverse group in terms of gender, race/ethnicity, profession, and geographic location of practice; importantly, it also includes parent advocates, following recommendations from recent NICU health equity literature ( 34 , 35 ). Thus, it builds on previous qualitative and mixed method studies that examine examples of and prevalence of bias in the NICU ( 7 , 36 ).…”

Section: Discussionmentioning

confidence: 99%

Disparities and Equity Dashboards in the Neonatal Intensive Care Unit: A Qualitative Study of Expert Perspectives

Razdan,

Hedli,

Sigurdson

et al. 2023

Preprint

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Objective: Racial/ethnic disparities are well-described in the neonatal intensive care unit (NICU). We explore expert opinion on their root causes, potential solutions, and the ability of health equity dashboards to meaningfully address NICU disparities. Study Design: We conducted 12 qualitative semi-structured interviews, purposively selecting a diverse group of neonatal experts. We used grounded theory to develop codes, shape interviews, and conduct analysis. Result: Participants identified three sources of disparity: interpersonal bias, care process barriers, and social determinants of health, particularly as they affect parental engagement in the NICU. Proposed solutions included racial/cultural concordance, bolstering hospital-based resources, and policy interventions. Health equity dashboards were viewed as useful but limited because clinical metrics do not account for many of the aforementioned sources of disparities. Conclusion: Equity dashboards serve as a motivational starting point for quality improvement; future iterations may require novel, qualitative data sources to identify underlying etiologies of NICU disparities.

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