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Reducing perinatal mortality among Indigenous babies in Queensland: should the first priority be better primary health care or better access to hospital care during confinement?

机译：降低昆士兰州土著婴儿的围产期死亡率：应优先考虑的是在分娩时更好的初级保健或更好的医院护理服务吗？

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BackgroundThe perinatal mortality rate among Indigenous Australians is still double that of the rest of the community. The aim of our study was to estimate the extent to which increased risk of low birthweight and preterm birth among Indigenous babies in Queensland account for their continuing mortality excess. If a large proportion of excess deaths can be explained by the unfavourable birthweight and gestational age distribution of Indigenous babies, then that would suggest that priority should be given to implementing primary health care interventions to reduce the risk of low birthweight and preterm birth (eg, interventions to reduce maternal smoking or genitourinary infections). Conversely, if only a small proportion is explained by birthweight and gestational age, then other strategies might need to be considered such as improving access to high-quality hospital care around the time of confinement.

机译：背景澳大利亚土著居民的围产期死亡率仍然是社区其他成员的两倍。我们研究的目的是评估昆士兰州土著婴儿低出生体重和早产风险增加的程度，说明其持续死亡率过高。如果原住民婴儿的出生体重和胎龄分布不佳可以解释过多的超额死亡人数，那么这意味着应该优先考虑实施初级卫生保健干预措施，以减少低出生体重和早产的风险（例如减少孕产妇吸烟或泌尿生殖道感染的干预措施）。相反，如果只有一小部分由出生体重和胎龄来解释，则可能需要考虑其他策略，例如在分娩期间改善获得高质量医院护理的机会。

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期刊名称 Australia and New Zealand Health Policy
作者
Trisha Johnston; Michael Coory;
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年(卷),期 2005(2),-1
年度 2005
页码 11
总页数 5
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1. Reducing Perinatal Mortality among Indigenous Babies in Queensland: Should the first Priority be better Primary Health Care or better Access to Hospital Care during Confinement? [J] . Trisha Johnston Michael Coory Australia and New Zealand Health Policy . 2005,第3期

机译：降低昆士兰州土著婴儿的围产期死亡率：应优先考虑的是改善分娩时的初级卫生保健还是更好的住院治疗？
2. A new culturally informed and innovative commissioning approach to boost access and primary health care performance for Indigenous communities of rural and remote New South Wales and Queensland [J] . Bob Davis, Stuart Gordon International Journal of Integrated Care . 2018,第s2期

机译：一种新的以文化为依据和创新的委托方式，以提高新南威尔士州和昆士兰州农村和偏远地区的原住民社区的获得和初级卫生保健绩效
3. National Survey of Indigenous primary healthcare capacity and delivery models in Canada: the TransFORmation of IndiGEnous PrimAry HEAlthcare delivery (FORGE AHEAD) community profile survey [J] . Jordan W Tompkins, On behalf of the FORGE AHEAD Program Team, Selam Mequanint, BMC Health Services Research . 2018,第1期

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4. In-hospital Mortality Prediction for ICU Patients on Large Healthcare MIMIC Datasets Using Class Imbalance Learning [C] . Lijuan Li, Guangjian Liu IEEE International Conference on Big Data Analytics . 2020

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5. Racial/ethnic disparities in access to primary care: A spatial approach to determining the effects of residential segregation, socioeconomic status and health factors on access to primary care in U.S. adults. [D] . Serban, Ramona E. 2015

机译：获得初级保健的种族/种族差异：一种空间方法，用于确定居住区隔离，社会经济地位和健康因素对美国成年人获得初级保健的影响。
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7. Reducing perinatal mortality among Indigenous babies in Queensland: should the first priority be better primary health care or better access to hospital care during confinement? [O] . Johnston Trisha, Coory Michael 2005

机译：降低昆士兰州土著婴儿的围产期死亡率：应优先考虑的是在分娩时更好的初级保健或更好的医院护理服务吗？
8. Optimizing Naval Hospital Camp Pendleton's Primary Care Access by Managing Demand of the Emergency Department through a Health Services Center: A Marcus Welby Care Initiative. [R] . Aldana, A. 2006

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Reducing perinatal mortality among Indigenous babies in Queensland: should the first priority be better primary health care or better access to hospital care during confinement?

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