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The United States faces an alarmingly high rate of maternal
morbidity and mortality, distinguishing it from other high-income
countries that have achieved decreases in these rates in recent
years. U.S. maternal morbidity and mortality rates are
disproportionate across racial, ethnic, socioeconomic, and
geographic groups. Statistics on maternal health outcomes reveal
that there are challenges to protecting both the lives and future
health of birthing people and their children. Recognizing the
urgency of this growing problem, the National Academies Board on
Population Health and Public Health Practice convened a 2-day
virtual workshop, Advancing Maternal Health Equity and Reducing
Maternal Mortality. The workshop examined the current state of
maternal health in the United States and explored the factors
needed to help communities and health care systems become more
effective in reducing maternal morbidity and mortality and
improving health outcomes through the fourth trimester. This
publication summarizes the presentations and discussions of the
workshop. Table of Contents Front Matter Proceedings of a Workshop
Appendix A: Workshop Agenda Appendix B: Biographical Sketches of
Workshop Speakers, Moderators, and Planning Committee Members
Approximately 7.4 million people in the United States live with an
intellectual or developmental disability (IDD), defined by the
Centers for Disease Control and Prevention as "a group of
conditions due to an impairment in physical, learning, language, or
behavior areas. These conditions begin during the developmental
period, may impact day-to-day functioning, and usually last
throughout a person?s lifetime." Individuals with IDD and their
caretakers face exceptional barriers to staying healthy and
accessing appropriate health services. Among these barriers are
difficulty finding care providers that are adequately trained in
meeting their specialized needs, unwieldy payment structures, and a
lack of coordination between the various systems of care with which
patients with IDD may interact (e.g., education, social work,
various segments of the health care system). The National Academies
of Sciences, Engineering, and Medicine hosted a workshop to discuss
promising innovations in (1) workforce development, (2) financing
and payment, and (3) care coordination; and to share visions for
improved systems of care. Participants noted that while many
existing approaches could serve as models for improving care, large
changes will need to be made in these 3 facets of the care system
in order to make them accessible to all IDD patients. This
publication summarizes the presentations and discussions of the
workshop. Table of Contents Front Matter Proceedings of a Workshop
References Appendix A: Workshop Agenda Appendix B: Statement of
Task Appendix C: Biographical Sketches of the Speakers and
Moderators
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