Rural Health
Resources by Topic: Maternal health and prenatal care
Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Rural-Urban Analysis of Buprenorphine Therapy During and After Pregnancy Among the Commercially Insured
Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Type: Document
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Type: Document
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Enhancing Maternal Health Initiative
Describes accomplishments of the Health Resources and Services Administration's initiative to strengthen, expand, and accelerate work to address maternal mortality and maternal health disparities, especially in underserved areas. Mentions rural throughout.
Date: 01/2025
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Describes accomplishments of the Health Resources and Services Administration's initiative to strengthen, expand, and accelerate work to address maternal mortality and maternal health disparities, especially in underserved areas. Mentions rural throughout.
Date: 01/2025
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Resources for Measuring Rurality in Research on Maternity Care
Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Understanding Barriers and Facilitators to Implementation of a Patient Safety Bundle for Pregnancy-Related Severe Hypertension in 3 North Carolina Outpatient Clinics: A Qualitative Study
Examines the Alliance for Innovation on Maternal Health's Patient Safety Bundle (Bundle) implementation in North Carolina, which aims to address complications of pregnancy related hypertension. Utilizes feedback from 11 key informant interviews working at a rural outpatient Federally Qualified Health Center (FQHC) in central North Carolina. Discusses facilitators and barriers of the Bundle implementation, with a focus on access issues in rural and underserved communities.
Author(s): Aparna G. Kachoria, Hiba Fatima, Alexandra F. Lightfoot, et al.
Citation: Implementation Science Communications, 6, 7
Date: 01/2025
Type: Document
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Examines the Alliance for Innovation on Maternal Health's Patient Safety Bundle (Bundle) implementation in North Carolina, which aims to address complications of pregnancy related hypertension. Utilizes feedback from 11 key informant interviews working at a rural outpatient Federally Qualified Health Center (FQHC) in central North Carolina. Discusses facilitators and barriers of the Bundle implementation, with a focus on access issues in rural and underserved communities.
Author(s): Aparna G. Kachoria, Hiba Fatima, Alexandra F. Lightfoot, et al.
Citation: Implementation Science Communications, 6, 7
Date: 01/2025
Type: Document
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Arizona State Health Assessment, 2024
Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Midwifery Care at Rural Hospitals in Montana and California
Provides a brief overview of hospital-based maternal healthcare in rural communities. Profiles hospitals that serve rural areas in Montana and California and how they have incorporated midwives into their maternity and primary care services. Identifies opportunities and challenges to employing midwives and incorporating midwifery care that may be helpful to other rural hospitals.
Author(s): Alyssa H. Fritz, Maggie L. Thorsen, Emily C. Sheffield, Katy B. Kozhimannil
Date: 12/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides a brief overview of hospital-based maternal healthcare in rural communities. Profiles hospitals that serve rural areas in Montana and California and how they have incorporated midwives into their maternity and primary care services. Identifies opportunities and challenges to employing midwives and incorporating midwifery care that may be helpful to other rural hospitals.
Author(s): Alyssa H. Fritz, Maggie L. Thorsen, Emily C. Sheffield, Katy B. Kozhimannil
Date: 12/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Select Committee on Advancing Rural and Small Town Health Care Final Report - To the General Assembly of Virginia
Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Type: Document
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Type: Document
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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Mapping Geographic Access to Illinois Birthing Hospitals, 2016–2023
Examines geographic access to birthing hospitals between 2016 to 2023 for women of reproductive age in Illinois. Includes maps showing driving times to hospitals and closed hospitals in the state, as well as changing levels of access for rural and urban women.
Author(s): Barbara C. Keino, Mechelle D. Claridy, Laurin Kasehagen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Examines geographic access to birthing hospitals between 2016 to 2023 for women of reproductive age in Illinois. Includes maps showing driving times to hospitals and closed hospitals in the state, as well as changing levels of access for rural and urban women.
Author(s): Barbara C. Keino, Mechelle D. Claridy, Laurin Kasehagen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Alabama Vital Statistics, 2022
Statistics on births, deaths, marriage, and population in Alabama in 2022. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 12/2024
Type: Document
Sponsoring organization: Alabama Department of Public Health
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Statistics on births, deaths, marriage, and population in Alabama in 2022. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 12/2024
Type: Document
Sponsoring organization: Alabama Department of Public Health
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