Health inequalities in timely antenatal care: audit of pre- and post-referral delays in antenatal bookings in London 2015–16.
Background Antenatal booking has potential to reduce infant and maternal health inequalities; yet, those most in need are least likely to access timely care. This audit describes late referral and antenatal booking across London in 2015–16, according to maternal characteristics. Methods Referral < 8...
| Publicado en: | Journal of Public Health Vol. 42; no. 4; pp. 801 - 816 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147262208&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147262208 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Dec2020 vid: 42 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 147262208 147262208 147262208 10.1093/pubmed/fdz184 147262208 ppf: 801 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Health inequalities in timely antenatal care: audit of pre- and post-referral delays in antenatal bookings in London 2015–16. aug: au: McDonald, H Moren, C Scarlett, J affil: Antenatal and Newborn Screening , Public Health Commissioning Department, NHS England (London Region), London SE1 6LH, UK sug: subj: Prenatal Care England Appointments and Schedules Expectant Mothers Maternal Health Services Healthcare Disparities Health Services Accessibility Human Descriptive Statistics Data Analysis Software Female Young Adult Adult Social Determinants of Health England Adult: 19-44 years Female ab: Background Antenatal booking has potential to reduce infant and maternal health inequalities; yet, those most in need are least likely to access timely care. This audit describes late referral and antenatal booking across London in 2015–16, according to maternal characteristics. Methods Referral < 8 weeks' gestation, booking < 2 weeks after referral and booking < 10 weeks' gestation were audited against maternal and referral characteristics. Results Of 122 275 antenatal bookings, 27.1% were before 10 weeks' gestation and 72.8% by 12 + 6 weeks. Characteristics associated with late booking were living in more deprived areas, age < 20 years, higher parity, Black or Minority ethnicity (particularly Bangladeshi or Black African), birth in Somalia, Jewish religion, first language other than English, unemployment of self or partner, lack of social support, or single parent families. Women living in more deprived areas, with first language other than English, of Jewish religion, Black and Minority ethnicity or who were unemployed, waited longer from referral to booking, despite later referral. Conclusions Post-referral delays can compound late referral for some women, exacerbating health inequalities, but should be amenable to provider interventions. Different patterns of pre- and post-referral delay suggest that a tailored approach is needed to address inequalities in access to antenatal care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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