Getting to health equity in NICU care in the USA and beyond

Arch Dis Child Fetal Neonatal Ed. 2023 Jul;108(4):326-331. doi: 10.1136/archdischild-2021-323533. Epub 2022 Nov 15.

Abstract

Differences in race/ethnicity, gender, income and other social factors have long been associated with disparities in health, illness and premature death. Although the terms 'health differences' and 'health disparities' are often used interchangeably, health disparities has recently been reserved to describe worse health in socially disadvantaged populations, particularly members of disadvantaged racial/ethnic groups and the poor within a racial/ethnic group. Infants receiving disparate care based on race/ethnicity, immigration status, language proficiency, or social class may be discomforting to healthcare workers who dedicate their lives to care for these patients. Recent literature, however, has documented differences in neonatal intensive care unit (NICU) care quality that have contributed to racial and ethnic differences in mortality and significant morbidity. We examine the within-NICU and between-NICU mechanisms of disparate care and recommend approaches to address these disparities.

Keywords: Health services research; Healthcare Disparities.

Publication types

  • Review

MeSH terms

  • Ethnicity
  • Health Equity*
  • Healthcare Disparities
  • Humans
  • Infant
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Racial Groups
  • United States