"This is a real inflection moment for the whole industry where all of the clinical practice guidelines and algorithms and calculators need to be reexamined, especially those that have inappropriately had race and ethnicity incorporated or embedded as part of the decision-making," Wright said. Hypertension is a better indicator of birthing outcomes, so the change will make diagnoses more accurate, Wright said. The University of Maryland Medical System scrapped the race variable and incorporated a measure for chronic hypertension in its place. Joseph Wright, vice president and chief health equity officer for Baltimore-based University of Maryland Medical System. The Vaginal Birth After Cesarean calculator, a tool used across health systems, includes a race adjustment that has resulted in more Black and Hispanic people getting C-sections, said Dr. The academy also offered collaborate with medical schools to remove race-based clinical factors from their curricula.įollowing the American Academy of Pediatrics's announcement, University of Maryland Medicine, which includes the University of Maryland Medical System and the University of Maryland School of Medicine, announced it would eliminate race as a factor in the risk calculator it employs to determine whether a patient giving birth should undergo a Cesarean section if they previously had one. This month, the American Academy of Pediatrics released a policy statement calling for the end of race-based medicine and recommending that healthcare organizations and medical specialty societies identify and deconstruct guidelines that use race as a factor for clinical decisions. These steps are part of a larger movement to acknowledge that race is incorrectly applied to diagnoses and treatments and needs to be replaced with physiological factors that better represent patients' health status. During the procedure heat is used to reduce the muscle around the airways.Health systems and medical associations are undergoing a process of removing race-based guidelines to improve quality and eliminate health disparities.
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