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Article

The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities

1
National Birth Equity Collaborative, New Orleans, LA 20026, USA
2
Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94143, USA
3
Department of Public Health, California State University, Sacramento, CA 95819, USA
4
School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70118, USA
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Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
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MedStar Washington Hospital Center, Council on Patient Safety in Women’s Health Care, ACOG, Washington, DC 20010, USA
*
Authors to whom correspondence should be addressed.
Academic Editors: Jimmy T. Efird and Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(9), 4933; https://doi.org/10.3390/ijerph18094933
Received: 16 March 2021 / Revised: 26 April 2021 / Accepted: 27 April 2021 / Published: 6 May 2021
(This article belongs to the Special Issue Feature Papers in Public Health Statistics and Risk Assessment)
Despite persistent disparities in maternity care outcomes, there are limited resources to guide clinical practice and clinician behavior to dismantle biased practices and beliefs, structural and institutional racism, and the policies that perpetuate racism. Focus groups and interviews were held in communities in the United States identified as having higher density of Black births. Focus group and interview themes and codes illuminated Black birthing individual’s experience with labor and delivery in the hospital setting. Using an iterative process to refine and incorporate qualitative themes, we created a framework in close collaboration with birth equity stakeholders. This is an actionable, cyclical framework for training on anti-racist maternity care. The Cycle to Respectful Care acknowledges the development and perpetuation of biased healthcare delivery, while providing a solution for dismantling healthcare providers’ socialization that results in biased and discriminatory care. The Cycle to Respectful Care is an actionable tool to liberate patients, by way of their healthcare providers, from biased practices and beliefs, structural and institutional racism, and the policies that perpetuate racism. View Full-Text
Keywords: birth equity; framework; maternal health; maternal morbidity; racial equity; respectful care birth equity; framework; maternal health; maternal morbidity; racial equity; respectful care
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MDPI and ACS Style

Green, C.L.; Perez, S.L.; Walker, A.; Estriplet, T.; Ogunwole, S.M.; Auguste, T.C.; Crear-Perry, J.A. The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities. Int. J. Environ. Res. Public Health 2021, 18, 4933. https://doi.org/10.3390/ijerph18094933

AMA Style

Green CL, Perez SL, Walker A, Estriplet T, Ogunwole SM, Auguste TC, Crear-Perry JA. The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities. International Journal of Environmental Research and Public Health. 2021; 18(9):4933. https://doi.org/10.3390/ijerph18094933

Chicago/Turabian Style

Green, Carmen L., Susan L. Perez, Ashlee Walker, Tracey Estriplet, S. M. Ogunwole, Tamika C. Auguste, and Joia A. Crear-Perry 2021. "The Cycle to Respectful Care: A Qualitative Approach to the Creation of an Actionable Framework to Address Maternal Outcome Disparities" International Journal of Environmental Research and Public Health 18, no. 9: 4933. https://doi.org/10.3390/ijerph18094933

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