Innovative strategies to reduce disparities in the quality of prenatal care in underresourced settings.
This study examined what innovative strategies, including the use of health information technology (health IT), have been or can be used to reduce disparities in prenatal care quality in underresourced settings. Based on literature review and key informant interviews, the authors identified 17 strategies that have been or can be used to (a) increase access to timely prenatal care, (b) improve the content of prenatal care, and (c) enhance the organization and delivery of prenatal care. Health IT can be used to (a) increase consumer awareness about the importance of preconception and early prenatal care, facilitate spatial mapping of access gaps, and improve continuity of patient records; (b) support collaborative quality improvement, facilitate performance measurement, enhance health promotion, assist with care coordination, reduce clinical errors, improve delivery of preventive health services, provide decision support, and encourage completeness of documentation; and (c) support data integration and engineer collaborative innovation.
Lu
Michael C
MC
Department of Community Health Sciences, University of California Los Angeles School of Public Health, Los Angeles, CA 90095-1772, USA. mclu@ucla.edu
Kotelchuck
Milton
M
Hogan
Vijaya K
VK
Johnson
Kay
K
Reyes
Carolina
C
D004059:Diffusion of Innovation; D005260:Female; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D008491:Medical Informatics Applications; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D011787:Quality of Health Care; D035862:Vulnerable Populations