Rural Health
Resources by Topic: Maternal health and prenatal care
Residential Proximity to Oil and Gas Development and Birth Outcomes in California: A Retrospective Cohort Study of 2006–2015 Births
Investigates relationship between residential proximity to oil and gas development (OGD) and adverse birth outcomes. Explores data of 2.9 million births to mothers living within 10km of OGD in rural areas and the relationship to low birth weight, preterm birth, and small for gestational age birth. Includes rural versus urban comparisons.
Author(s): Kathy V. Tran, Joan A. Casey, Lara J. Cushing, Rachel Morello-Frosch
Citation: Environmental Health Perspectives, 128(6)
Date: 06/2020
Type: Document
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Investigates relationship between residential proximity to oil and gas development (OGD) and adverse birth outcomes. Explores data of 2.9 million births to mothers living within 10km of OGD in rural areas and the relationship to low birth weight, preterm birth, and small for gestational age birth. Includes rural versus urban comparisons.
Author(s): Kathy V. Tran, Joan A. Casey, Lara J. Cushing, Rachel Morello-Frosch
Citation: Environmental Health Perspectives, 128(6)
Date: 06/2020
Type: Document
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The Supply and Rural-Urban Distribution of the Obstetrical Care Workforce in the U.S
Highlights the supply of obstetrical care workers in rural and urban areas in the U.S. Compares rates of midwives, advanced practice midwives, obstetricians, and family practice physicians who deliver babies per 100,000 women of childbearing age in rural counties. Features a state-by state analysis and state-level profiles.
Additional links: State-level Reports
Author(s): Davis Patterson, Holly Andrilla, Lisa Garberson
Date: 06/2020
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights the supply of obstetrical care workers in rural and urban areas in the U.S. Compares rates of midwives, advanced practice midwives, obstetricians, and family practice physicians who deliver babies per 100,000 women of childbearing age in rural counties. Features a state-by state analysis and state-level profiles.
Additional links: State-level Reports
Author(s): Davis Patterson, Holly Andrilla, Lisa Garberson
Date: 06/2020
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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COVID-19 Exposes Threat to America's Broken Rural Health Care System
Recording of an April 21, 2020, webinar featuring members of the Bipartisan Policy Center's Rural Health Task Force. Discusses the Task Force's policy recommendations to stabilize the rural healthcare infrastructure and ensure local access to care as outlined in the report Confronting Rural America's Health Care Crisis. Describes how these recommendations will address the closures of obstetrics units, promote value-based care, provide incentives for clinicians to stay in rural areas, and remove barriers to telehealth. Transcript available by clicking the dots above the video description, then selecting Show Transcript.
Date: 04/2020
Type: Video/Multimedia
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Recording of an April 21, 2020, webinar featuring members of the Bipartisan Policy Center's Rural Health Task Force. Discusses the Task Force's policy recommendations to stabilize the rural healthcare infrastructure and ensure local access to care as outlined in the report Confronting Rural America's Health Care Crisis. Describes how these recommendations will address the closures of obstetrics units, promote value-based care, provide incentives for clinicians to stay in rural areas, and remove barriers to telehealth. Transcript available by clicking the dots above the video description, then selecting Show Transcript.
Date: 04/2020
Type: Video/Multimedia
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Confronting Rural America's Health Care Crisis
Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Type: Document
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Type: Document
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Atlanta, Georgia, March 2-4, 2020
Summarizes the 87th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Atlanta, Georgia. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural maternal health and HIV prevention and treatment.
Date: 03/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 87th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Atlanta, Georgia. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural maternal health and HIV prevention and treatment.
Date: 03/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Maternal Mortality: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them
Examines trends in pregnancy-related deaths between 2007 and 2016, Analyzes data by cause of death, racial and ethnic groups, and age. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines trends in pregnancy-related deaths between 2007 and 2016, Analyzes data by cause of death, racial and ethnic groups, and age. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Type: Document
Sponsoring organization: Government Accountability Office
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