Rural Health
Resources by Topic: Maternal health workforce
Understanding and Overcoming Barriers to Rural Training in Family Medicine Obstetrics Fellowships
Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Midwives: Information on Births, Workforce, and Midwifery Education
Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Indiana's Maternity Care Workforce: 2023
Provides data on the maternity care workforce in Indiana, such as number of physicians and advanced practice registered nurses (APRNs), demographic profile of workforce, services provided, and county-level maps showing location of prenatal and postnatal services, labor and delivery services, and maternity care shortage areas or Maternity Care Health Professional Target Areas (MCTAs).
Author(s): Becky Boustani, Courtney Medlock, Strategy Hannah L. Maxey
Date: 03/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides data on the maternity care workforce in Indiana, such as number of physicians and advanced practice registered nurses (APRNs), demographic profile of workforce, services provided, and county-level maps showing location of prenatal and postnatal services, labor and delivery services, and maternity care shortage areas or Maternity Care Health Professional Target Areas (MCTAs).
Author(s): Becky Boustani, Courtney Medlock, Strategy Hannah L. Maxey
Date: 03/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Project SOAR: Simulation-Based Training to Support Emergent Obstetric Capacity & Care in Rural Hospitals
Webinar highlighting the creation of a Texas based academic-rural health partnership providing training for rural nurses in emergent obstetric care. Discusses maternal care statistics in rural Texas and the benefits of community-based participatory research. Transcript available by clicking the three dots under the video.
Date: 01/2023
Type: Video/Multimedia
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Webinar highlighting the creation of a Texas based academic-rural health partnership providing training for rural nurses in emergent obstetric care. Discusses maternal care statistics in rural Texas and the benefits of community-based participatory research. Transcript available by clicking the three dots under the video.
Date: 01/2023
Type: Video/Multimedia
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Understanding and Overcoming Barriers to Rural Obstetric Training for Family Physicians
Reports findings from a mixed-methods study on the availability and characteristics of obstetric (OB) training in rural family medicine residency programs, as well as the barriers to and facilitators of rural OB training.
Author(s): Erin Fredrickson, David V. Evans, Sara Woolcock, et al.
Citation: Family Medicine, 55(6), 381-388
Date: 2023
Type: Document
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Reports findings from a mixed-methods study on the availability and characteristics of obstetric (OB) training in rural family medicine residency programs, as well as the barriers to and facilitators of rural OB training.
Author(s): Erin Fredrickson, David V. Evans, Sara Woolcock, et al.
Citation: Family Medicine, 55(6), 381-388
Date: 2023
Type: Document
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Maternal Mortality in Indiana (2022): Contributing Factors and Policy Recommendations
Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, race/ethnicity, and access to maternal health services. Provides county-level map of Indiana showing ratio of county population to obstetrician-gynecologists (OB/GYN) specialists.
Author(s): Nidhi Arun, Vatsla Sharma, Elizabeth Thuranira
Date: 12/2022
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, race/ethnicity, and access to maternal health services. Provides county-level map of Indiana showing ratio of county population to obstetrician-gynecologists (OB/GYN) specialists.
Author(s): Nidhi Arun, Vatsla Sharma, Elizabeth Thuranira
Date: 12/2022
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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Rural Health Research Recap: Maternal Health Disparities: An Intersection of Race and Rurality
Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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