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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This article discusses the findings from a systematic review and meta-analysis of observational studies on pregnant women with confirmed COVID-19 infections. More than 31,000 pregnant women from 62 studies were included.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This study sought to assess the correlation between population and spatial characteristics of COVID-19 by examining positive COVID-19 data from New York City with ZIP Code Tabulation Areas to determine what social determinants of health increase an individual’s risk of contracting COVID-19. Results showed that neighborhoods with larger proportions of Black people, people older than 65, people with heart disease, and people living in densely populated housing are at higher risk of contracting COVID-19.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
In this project, RAND Corporation researchers identified existing health equity measurement approaches that might fit with Medicare’s VBP programs, quality reporting efforts, and confidential reports. The project had two objectives: identify health equity measurement approaches, and decide which of these approaches merit consideration for inclusion in Medicare’s VBP programs, quality reporting efforts, and confidential reports. This report describes the methods and findings of the project and delineates potential first steps for the U.S. Department of Health and Human Services to consider as it continues to evaluate the prospect of incorporating health equity measures and domains in Medicare’s VBP and reporting programs.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
This study assessed the anxiety level during the COVID-19 pandemic among pregnant women and compared it between COVID-infected and non-infected groups. The authors prospectively assessed the daily routine and anxiety level using a bespoke questionnaire and GAD-7 scale validated for pregnant women. With logistic regression, they established possible risk factors of generalized anxiety disorder spectrum and main causes of concern.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
RELEASE DATE:
Peer Review Study
This study aimed to investigate whether COVID-19 is associated with adverse perinatal outcomes in a large national dataset and to examine the rates of adverse outcomes during the pandemic compared with the rates of adverse outcomes during the prepandemic period. This observational cohort study included 683,905 patients, between the ages of 12 and 50, hospitalized for childbirth and abortion between January 1, 2019, and May 31, 2021.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
RELEASE DATE:
Peer Review Study
The authors sought to evaluate compliance with state-mandated third-trimester syphilis testing at a single tertiary hospital in Illinois and to identify disparities in testing. This is a retrospective cohort study of all pregnant individuals who delivered between January 1, 2015, and February 28, 2018, at a large-volume academic center. The study found that despite a decades-old state mandate for third-trimester syphilis screening in this high-prevalence region, third-trimester screening performance was suboptimal. Several demographic characteristics were associated with adherence to screening, suggesting inequity and bias exist in testing practices. It is important to acknowledge that legal statutes do not fully eliminate bias and health disparities.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Commentary
This articles discusses the need for policy that promotes equitable access to holistic support in pregnancy care to address racial disparities in maternal care. The authors outline recommendations to increase access to medical care and social support for pregnant patients, particularly for the most vulnerable.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Peer Review Study
This review summarized existing data on racial disparities in maternal immunization for influenza in the U.S. and reviewed the literature on interventions to improve the uptake of the influenza vaccine among Black pregnant women. U.S. survey data on maternal influenza immunization by racial and ethnic group were summarized in narrative form. The study found that a decade of survey data show that Black women in the U.S. consistently have the lowest rate of influenza immunization in pregnancy. Black women report a lower rate of being recommended or offered the vaccine, and provider recommendation is associated with greater vaccine uptake. Intervention studies to increase influenza immunization among Black pregnant women have reported mixed results. Successful interventions include multicomponent practice-based interventions, group prenatal care, and culturally competent patient educational messages.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
RELEASE DATE:
Peer Review Study
This study uses electronic medical records to categorize ethnic differences in clinical presentation and outcomes from COVID-19 among older adults. The data showed no difference in outcomes, hospitalizations, or death between older Hispanic adults and non-Hispanic patients with COVID-19.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
RELEASE DATE:
Peer Review Study
This study examined telemedicine utilization patterns for one healthcare system during the COVID-19 pandemic to determine if environmental, racial or ethnic, or other social determinants of health impact an individual’s access and usage of telemedicine. Results showed that older age, rural status, and lower socioeconomic status, as well as Asian, Black, and Hispanic ethnicities are most likely to be associated with a lower telemedicine use. Efforts toward digital literary outreach and distribution of telemedicine infrastructure are needed.