Quality of care in the delivery hospital contributes to racial disparities in outcomes for low-risk newborns

Commentary on: Glazer KB, Zeitlin J, Egorova NN, et al. Hospital quality of care and racial and ethnic disparities in unexpected newborn complications. Pediatrics 2021;148:e2020024091. doi:10.1542/peds.2020-024091. Implications for practice and research Black and Hispanic infants suffer unexpected neonatal complications more than Asian and white children, in part because of the quality of care in the hospital of delivery. Improving quality of care at the delivering hospital for women and infants can improve outcomes and reduce racial and ethnic disparities in otherwise healthy term infants. Context Equity is intrinsic to quality, yet neonatal disparities persist. Glazer et al1 describes associations between race/ethnicity, hospital of birth and ‘unexpected newborn complications’ in low-risk term neonates in New York City. Methods Using 2010–2014 vital statistics and discharge data, Glazer et al1 identified births at low risk for complications. Various logistic regression models...
Source: Evidence-Based Nursing - Category: Nursing Authors: Tags: Child health Commentary Source Type: research