TY - JOUR
T1 - Bridging the Chasm between Pregnancy and Health over the Life Course
T2 - A National Agenda for Research and Action
AU - Working Group Advisors
AU - McCloskey, Lois
AU - Bernstein, Judith
AU - The Bridging the Chasm Collaborative, Bridging the Chasm Collaborative
AU - Amutah-Onukagha, Ndidimaka
AU - Anthony, Jodi
AU - Barger, Mary
AU - Belanoff, Candice
AU - Bennett, Trude
AU - Bird, Chloe E.
AU - Bolds, Denise
AU - Brenna, Burke Weber
AU - Carter, Rebecca
AU - Celi, Ann
AU - Chachere, Breanna
AU - Crear-Perry, Joia
AU - Crossno, Chase
AU - Cruz-Davis, Alba
AU - Damus, Karla
AU - Dangel, Alissa
AU - Depina, Zendilli
AU - Deroze, Phyllisa
AU - Dieujuste, Colette
AU - Dude, Annie
AU - Edmonds, Joyce
AU - Enquobahrie, Daniel
AU - Eromosele, Ebosetale
AU - Ferranti, Erin
AU - Fitzmaurice, Mary
AU - Gebel, Christina
AU - Blount, Linda Goler
AU - Greiner, Ann
AU - Gullo, Sue
AU - Haddad, Amy
AU - Hall, Nneka
AU - Handler, Arden
AU - Headen, Irene
AU - Heelan-Fancher, Lisa
AU - Hernandez, Teri
AU - Johnson, Kay
AU - Jones, Emily
AU - Jones, Ne Keshia
AU - Klaman, Stacey
AU - Lund, Barbara
AU - Mallampalli, Monica
AU - Marcelin, Lilly
AU - Marshall, Cassondra
AU - Maynard, Bridgette
AU - McCage, Shondra
AU - Mitchell, Suzanne
AU - Ramos, Athena
N1 - Funding Information:
Supported in part by PCORI, United States #6947-BUSPH, and NIH, United States RO1 DK107528 and NIH Office of Research on Women's Health.
Publisher Copyright:
© 2021
PY - 2021/5/1
Y1 - 2021/5/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.whi.2021.01.002
DO - 10.1016/j.whi.2021.01.002
M3 - Article
C2 - 33707142
AN - SCOPUS:85102277412
VL - 31
SP - 204
EP - 218
JO - Women's Health Issues
JF - Women's Health Issues
SN - 1049-3867
IS - 3
ER -