Creating effective teams and valuing patient-centered care to change culture and improve equity on labor and delivery: a qualitative study.

ABSTRACT:

Background

Efforts to reduce cesarean birth overuse have had varied success. De-implementation strategies that incorporate change to organizational characteristics (i.e. culture) can improve adoption and sustainability. This study aimed to identify culture change strategies used by hospitals that achieved significant and sustained cesarean reduction and eliminated racial disparities in cesarean birth.

Methods

Hospitals in California and Florida that (1) engaged in quality initiatives to reduce cesarean births; (2) demonstrated at least a 5% cesarean birth reduction; and (3) sustained the reduction for 18 months after participation were invited to participate. Hospitals that reduced also cesarean racial disparity were prioritized for recruitment. Qualitative, semi-structured

SUBMITTER: White Vangompel E 

PROVIDER: S-EPMC11667985 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature