{"id":289195,"date":"2023-09-26T11:34:51","date_gmt":"2023-09-26T15:34:51","guid":{"rendered":"https:\/\/www.oviahealth.com\/?p=289195"},"modified":"2025-06-11T11:25:19","modified_gmt":"2025-06-11T15:25:19","slug":"care-inequities","status":"publish","type":"post","link":"https:\/\/www.oviahealth.com\/blog\/care-inequities\/","title":{"rendered":"The time for addressing care inequities is now"},"content":{"rendered":"\n<p>The CDC recently published <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/72\/wr\/mm7235e1.htm\" target=\"_blank\" rel=\"noreferrer noopener\">a new report<\/a> documenting the rise of maternal deaths and care inequities in the United States during 2018\u20132021 and particularly alarming racial disparities. They found:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Approximately one in five mothers overall, and approximately 30% of Black, Hispanic, and multiracial mothers, reported mistreatment during maternity care.&nbsp;<\/li>\n\n\n\n<li>Approximately 40% of Black, Hispanic, and multiracial mothers reported discrimination during maternity care<\/li>\n\n\n\n<li>45% of all mothers reported holding back from asking questions or discussing concerns with their provider.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>Women deserve better. We are capable of better.&nbsp;<\/p>\n\n\n\n<p>These findings are sobering, and unacceptable, although&nbsp; all too familiar. It\u2019s been established that <a href=\"https:\/\/abcnews.go.com\/Health\/us-pregnancy-related-deaths-preventable-cdc\/story?id=90158575\" target=\"_blank\" rel=\"noreferrer noopener\">4 out of every 5 maternal deaths are preventable<\/a>, and that Black women are <a href=\"https:\/\/www.ajmc.com\/view\/racial-disparities-persist-in-maternal-morbidity-mortality-and-infant-health\" target=\"_blank\" rel=\"noreferrer noopener\">3X more likely to die from maternity related complications<\/a>. Yet, there\u2019s still not sufficient urgency to solve these issues.&nbsp;<\/p>\n\n\n\n<p>The industry must critically examine our current policies and care delivery methods. What we have been doing isn\u2019t working. Despite spending an estimated <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17321943\/'\" target=\"_blank\" rel=\"noreferrer noopener\">$108 Billion on women\u2019s health each year,<\/a> outcomes are deteriorating. Clearly this isn\u2019t about spending more money \u2014 this requires a holistic and intentional approach. We must move towards a more equitable and accessible system and improve the care individuals receive.<\/p>\n\n\n\n<p>To make real change that will positively impact women\u2019s health outcomes and experiences, let\u2019s consider these 4 approaches:<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. <strong>Implement a <\/strong><a href=\"https:\/\/www.oviahealth.com\/blog\/nbec-respectful-maternity-care\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Respectful Maternity Care Framework<\/strong><\/a><strong>.&nbsp;<\/strong><\/h2>\n\n\n\n<p>What is a respectful maternity care framework? It\u2019s a theoretical framework based on the birth experiences of Black mothers to inform the ways hospitals and health systems can better provide respectful, affirming care to mothers throughout their maternity care. This framework complements existing provider educational tools and promotes anti-racist and birth equity practices, such as shared decision making.&nbsp;&nbsp;<\/p>\n\n\n\n<p>We\u2019ve partnered with the <a href=\"https:\/\/birthequity.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Birth Equity Collaborative<\/a> on these<a href=\"https:\/\/www.oviahealth.com\/blog\/nbec-respectful-maternity-care\/\" target=\"_blank\" rel=\"noreferrer noopener\"> Respectful Maternity Care Framework guidelines<\/a> and highly recommend it for any provider.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. <strong>Hear what needs to be heard.&nbsp;<\/strong><\/h2>\n\n\n\n<p>Advocacy movements have long disputed that, although individuals are raising concerns, many social inequities are rooted in a lack of true listening, willingness to learn, and listening with an intent to take action. <a href=\"https:\/\/brenebrown.com\/\">Bren\u00e9 Brown<\/a> coined the phrase \u201cgiving ears to the earless\u201d to capture this idea. This concept is particularly relevant issues underpinning health inequities&nbsp;<\/p>\n\n\n\n<p>Right now, millions of women are going to medical appointments, knowing and feeling with certainty that something is wrong, only to have a doctor downplay and write off their symptoms.<\/p>\n\n\n\n<p>Known by some as <a href=\"https:\/\/hitconsultant.net\/2022\/10\/13\/medical-gaslighting-women-rampant\/\" target=\"_blank\" rel=\"noreferrer noopener\">medical gaslighting<\/a>, this phenomenon disproportionately affects women, particularly women of color.&nbsp; For example, a study released nearly two decades ago showed that women are systematically prescribed lower amounts of pain medication after reporting similar levels of pain compared to their male counterparts.&nbsp;<\/p>\n\n\n\n<p>Too frequently, women are telling providers their concerns, issues and symptoms, but their voices are falling on deaf ears. There is systemic deafness. It\u2019s incumbent on providers to truly listen to and hear their patients\u2019 concerns.&nbsp;<\/p>\n\n\n\n<p>Provider organizations and health systems can tackle this issue by undergoing gender bias training, re-examining practices associated with \u201croutine\u201d procedures that have been highlighted as painful by patients (e.g., IUD implantation), and requiring empathy training for providers.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. <strong>Leverage doulas, midwives and community based care to combat care inequities&nbsp;<\/strong><\/h2>\n\n\n\n<p>Services provided by doulas and midwives are often not reimbursed by payers, despite their <a href=\"https:\/\/healthconnectone.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">proven value<\/a>. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3647727\/\" target=\"_blank\" rel=\"noreferrer noopener\">Studies show<\/a> that expectant mothers matched with a doula had better birth outcomes than did mothers who gave birth without involvement of a doula. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3647727\/\" target=\"_blank\" rel=\"noreferrer noopener\">These data <\/a>suggest doula-assisted mothers were:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>four times less likely to have a low-birth-weight baby<\/li>\n\n\n\n<li>two times less likely to experience a birth complication involving themselves or their baby<\/li>\n\n\n\n<li>significantly more likely to initiate breastfeeding.<\/li>\n<\/ul>\n\n\n\n<p>Inclusion of doulas are even more important for Black women and other women of color. As Dr. Joia Crear-Perry, Founder and President of RH Impact (formerly known as The National Birth Equity Collaborative) noted, doulas are successful in many communities, particularly those underserved by the healthcare system, because they provide personalized social support before, during, and after delivery. By extending the provider network, individuals are more likely to receive <a href=\"https:\/\/www.oviahealth.com\/blog\/identifying-with-your-healthcare-provider-can-lead-to-better-outcomes-thats-why-ovia-offers-racially-concordant-care\/\" target=\"_blank\" rel=\"noreferrer noopener\">racially concordant care<\/a>, which improves outcomes.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. <strong>Invest and integrate preventative, personalized digital health solutions&nbsp;<\/strong><\/h2>\n\n\n\n<p>Investing in digital solutions that also deliver 1:1 connections with care experts improves health literacy and self-advocacy , supporting individuals who might otherwise be anxious to discuss issues with their providers or feel dismissed by them. This form of coaching is proven to work.&nbsp;<\/p>\n\n\n\n<p>A recent survey of Ovia members found those who interacted with the Care Team are more likely to report taking control of their health. For example, compared to Ovia users who did not engage with the Care team, members who did reported they were:&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>270% more likely to report that Ovia Health helped them answer a pressing health question<\/li>\n\n\n\n<li>79% more likely to report that Ovia Health helped them self-identify a health condition\/symptom&nbsp;<\/li>\n\n\n\n<li>136% more likely to report that Ovia Health encouraged them to reach out to their provider<\/li>\n\n\n\n<li>36% more likely to use employer\/health benefits<\/li>\n<\/ol>\n\n\n\n<p>Personalization and prevention are key. Women don\u2019t always recognize symptoms and other telehealth focused plans don\u2019t help them see trends, because they\u2019re not interactive or focused on prevention. They\u2019re reactive. Solutions that leverage patient-reported data can provide early identification of rising risks and alert individuals to seek care when they need it and empower coaches with these insights to ask the critical questions of the members and equip individuals to advocate for themselves.&nbsp;&nbsp;<\/p>\n\n\n\n<p>That\u2019s why I joined <a href=\"http:\/\/www.oviahealth.com\" target=\"_blank\" rel=\"noreferrer noopener\">Ovia Health<\/a> \u2014 to be part of the solution that can really help. To address care inequities. In the last year alone, we\u2019ve been able to deliver 198,000 critical alerts that helped women recognize potential issues and get the care they needed.*&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>Those interventions can help women avoid preterm delivery, reduce the risk of preeclampsia or gestational diabetes, and increase recognition of symptoms related to conditions such as PCOS or endometriosis, which can take up to <a href=\"https:\/\/www.theskimm.com\/wellness\/endometriosis-diagnosis\" target=\"_blank\" rel=\"noreferrer noopener\">10 years to diagnose<\/a>. The potential of preventative digital health \u2014 vs reactive digital solutions \u2014 is exciting. We can alter the trajectory of care. We can address care inequities.<\/p>\n\n\n\n<p>We cannot afford to wait longer to invest and evolve women\u2019s health care. Outcomes aren\u2019t improving. These data suggest care is more dangerous now for women than it was 5 years ago. Though changing the system to improve women\u2019s health is a daunting task, collectively we can. Ovia will continue to invest directly in approaches that will improve health outcomes. Let\u2019s reverse the trends together with urgency.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"has-small-font-size\">*Ovia Health Quicksight data as of 8\/24\/23<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The CDC recently published a new report documenting the rise of maternal deaths and care inequities in the United States during 2018\u20132021 and particularly alarming racial disparities. They found: Women deserve better. We are capable of better.&nbsp; These findings are sobering, and unacceptable, although&nbsp; all too familiar. It\u2019s been established that 4 out of every [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":289224,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ovia_blog_author":"","ovia_blog_author_image":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[3482,3462],"tags":[6247,3616,3646,3756],"class_list":["post-289195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-enterprise","tag-birth-equity","tag-improving-health-outcomes","tag-maternal-health","tag-womens-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The time for addressing care inequities is now - Ovia Health<\/title>\n<meta name=\"description\" content=\"Learn what companies can do to improve maternal outcomes and address care inequities that impact health and wellness.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oviahealth.com\/blog\/care-inequities\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The time for addressing care inequities is now - 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