It's Time to Eliminate Racism and Fragmentation in Women's Health Care.

Published on Feb 1, 2021in Womens Health Issues
· DOI :10.1016/J.WHI.2020.12.007
Lois McCloskey15
Estimated H-index: 15
(BU: Boston University),
Judith Bernstein28
Estimated H-index: 28
(BU: Boston University)
+ 4 AuthorsChloe E. Bird37
Estimated H-index: 37
#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Judith Bernstein (BU: Boston University)H-Index: 28
Last. Christina LachanceH-Index: 1
view all 72 authors...
Abstract Background Many pregnant people find no bridge to ongoing specialty or primary care after delivery, 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 pa...
#1Suzanne G. Leveille (University of Massachusetts Boston)H-Index: 80
#2Patricia Fitzgerald (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 5
Last. Jan Walker (Harvard University)H-Index: 31
view all 13 authors...
BACKGROUND Patients actively involved in their care demonstrate better health outcomes. Using secure internet portals, clinicians are increasingly offering patients access to their narrative visit notes (open notes), but we know little about their understanding of notes written by clinicians. OBJECTIVE We examined patients' views on the clarity, accuracy, and thoroughness of notes, their suggestions for improvement, and associations between their perceptions and willingness to recommend clinicia...
5 CitationsSource
#1Lois McCloskey (BU: Boston University)H-Index: 15
#2Emily Quinn (BU: Boston University)H-Index: 20
Last. Judith Bernstein (BU: Boston University)H-Index: 6
view all 9 authors...
Abstract Objective Our objective was to describe patient-, provider-, and health systems-level factors associated with likelihood of obtaining guideline-recommended follow-up to prevent or mitigate early-onset type 2 diabetes after a birth complicated by gestational diabetes (GDM). Methods This study presents a retrospective cohort analysis of de-identified demographic and health care system characteristics, and clinical claims data for 12,622 women with GDM who were continuously enrolled in a l...
4 CitationsSource
#1Samaah Sullivan (Emory University)H-Index: 13
#2Muhammad Hammadah (Emory University)H-Index: 22
Last. Tené T. Lewis (Emory University)H-Index: 42
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Abstract Leukocyte telomere length (LTL) may be sensitive to psychosocial stressors such as discrimination. An inclusive examination of experiences of discrimination on LTL across racial/ethnic and sex groups is currently lacking. Baseline data were obtained from 369 White and African American patients with coronary artery disease (CAD) in the Mental Stress Ischemia Mechanisms and Prognosis Study. LTL was measured from peripheral blood leukocytes by quantitative polymerase chain reaction and cal...
8 CitationsSource
#1Ana R. Quiñones (OHSU: Oregon Health & Science University)H-Index: 23
#2Anda Botoseneanu (UM: University of Michigan)H-Index: 16
Last. Heather G. Allore (Yale University)H-Index: 61
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Background Multimorbidity–having two or more coexisting chronic conditions–is highly prevalent, costly, and disabling to older adults. Questions remain regarding chronic diseases accumulation over time and whether this differs by racial and ethnic background. Answering this knowledge gap, this study identifies differences in rates of chronic disease accumulation and multimorbidity development among non-Hispanic white, non-Hispanic black, and Hispanic study participants starting in middle-age and...
38 CitationsSource
#1Saraswathi Vedam (UBC: University of British Columbia)H-Index: 17
#2Kathrin Stoll (UBC: University of British Columbia)H-Index: 21
Last. Eugene Declercq (BU: Boston University)H-Index: 40
view all 12 authors...
Recently WHO researchers described seven dimensions of mistreatment in maternity care that have adverse impacts on quality and safety. Applying the WHO framework for quality care, service users partnered with NGOs, clinicians, and researchers, to design and conduct the Giving Voice to Mothers (GVtM)–US study. Our multi-stakeholder team distributed an online cross-sectional survey to capture lived experiences of maternity care in diverse populations. Patient-designed items included indicators of ...
69 CitationsSource
#1Emily J. Jones (Anschutz Medical Campus)H-Index: 10
#2Teri L. HernandezH-Index: 25
Last. Erin P. FerrantiH-Index: 2
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: The postpartum period represents a critical window to initiate targeted interventions to improve cardiometabolic health following pregnancies complicated by gestational diabetes mellitus and/or a hypertensive disorder of pregnancy. The purpose of this systematic review was to examine studies published since 2011 that report rates of postpartum follow-up and risk screening for women who had gestational diabetes and/or a hypertensive disorder of pregnancy and to identify disparities in care. Nin...
11 CitationsSource
#1Caroline K. Kramer (U of T: University of Toronto)H-Index: 20
#2Sara Campbell (MSH: Mount Sinai Hospital, Toronto)H-Index: 2
Last. Ravi Retnakaran (U of T: University of Toronto)H-Index: 60
view all 3 authors...
Aims/hypothesis Women who develop gestational diabetes mellitus (GDM) have an elevated lifetime risk of type 2 diabetes mellitus. Recently, a series of studies has suggested that women with GDM also have an increased risk of cardiovascular disease (CVD). However, it is unclear if this risk is dependent upon the intercurrent development of type 2 diabetes. Thus, we conducted a systematic review and meta-analysis to evaluate the impact of GDM on future risk of incident CVD and to ascertain the rol...
107 CitationsSource
#1Jennifer J. Stuart (Harvard University)H-Index: 15
#2Lauren J. Tanz (Harvard University)H-Index: 9
Last. Janet W. Rich-Edwards (Harvard University)H-Index: 103
view all 7 authors...
Background: Women with a history of hypertensive disorders of pregnancy (HDP) are nearly twice as likely to develop cardiovascular disease (CVD) as those who are normotensive during pregnancy. However, the emergence of CVD risk factors after HDP is less well-understood. Objective: To identify associations between HDP and maternal CVD risk factors and chart the trajectory of risk factor development after pregnancy. Design: Observational cohort study. Setting: United States. Participants: 58 671 p...
53 CitationsSource
#1Elizabeth A. Howell (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 24
Significant racial and ethnic disparities in maternal morbidity and mortality exist in the United States. Black women are 3 to 4 times more likely to die a pregnancy-related death as compared with white women. Growing research indicates that quality of health care, from preconception through postpar
66 CitationsSource
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