Rural Health
Resources by Topic: Maternal health workforce
Georgia Counties without Primary Care/Core Practitioners Based on 2023-2024 Licensure Renewals and New Licensees
County-level Georgia maps showing counties without any physicians, and without physicians specializing in family medicine, internal medicine, pediatrics, OB/GYN, general surgery, psychiatry, and emergency medicine. Features statistics on numbers of these physicians with breakdowns by county.
Date: 2025
Sponsoring organization: Georgia Board of Health Care Workforce
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County-level Georgia maps showing counties without any physicians, and without physicians specializing in family medicine, internal medicine, pediatrics, OB/GYN, general surgery, psychiatry, and emergency medicine. Features statistics on numbers of these physicians with breakdowns by county.
Date: 2025
Sponsoring organization: Georgia Board of Health Care Workforce
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Annual Report on the New Hampshire Health Care Workforce and Data Collection: Calendar Year 2024
Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2024
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
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Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2024
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
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Low Birthweight Rate Differences Associated with Distinct Perinatal Staffing Mixes at Federally Funded Health Centers
Examines associations between health center staffing models and low birthweight (LBW), utilizing 2011-2021 Uniform Data System files of 1,385 health centers. Includes data on rural-urban differences in distribution of hospitals staffing certified nurse midwives (CNMs), obstetricians-gynecologists (OBs), both, or neither.
Author(s): Paula M. Kett, Grace A. Guenther, Marieke S. van Eijk, David G. Patterson, Bianca K. Frogner
Citation: Health Affairs Scholar, 2(12), qxae113
Date: 12/2024
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Examines associations between health center staffing models and low birthweight (LBW), utilizing 2011-2021 Uniform Data System files of 1,385 health centers. Includes data on rural-urban differences in distribution of hospitals staffing certified nurse midwives (CNMs), obstetricians-gynecologists (OBs), both, or neither.
Author(s): Paula M. Kett, Grace A. Guenther, Marieke S. van Eijk, David G. Patterson, Bianca K. Frogner
Citation: Health Affairs Scholar, 2(12), qxae113
Date: 12/2024
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The Availability of Midwifery Care in Rural United States Communities
Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health, 69(6), 929-936
Date: 11/2024
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Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health, 69(6), 929-936
Date: 11/2024
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Trends in the Health Workforce Supply in the Rural U.S.
Describes trends in the supply and distribution of clinicians in primary care, behavioral health, and obstetrical care, as well as dentists, surgeons, community health workers, and home health aides. Examines the availability of workforce data for professions important for rural communities, and discusses the advantages and disadvantages of using various health workforce data sources for rural health research. Features statistics with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 10/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Describes trends in the supply and distribution of clinicians in primary care, behavioral health, and obstetrical care, as well as dentists, surgeons, community health workers, and home health aides. Examines the availability of workforce data for professions important for rural communities, and discusses the advantages and disadvantages of using various health workforce data sources for rural health research. Features statistics with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 10/2024
Sponsoring organization: WWAMI Rural Health Research Center
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North Carolina Advanced Practice Registered Nurses: A Report on the Advanced Practice Registered Nurse Workforce in North Carolina
Describe trends in the supply, demographic, educational, practice, and geographic characteristics of nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists in North Carolina. Features statistics with breakdowns by nonmetropolitan counties compared with state population.
Author(s): Erin Fraher, Connor Sullivan, Catherine Moore, et al.
Date: 09/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Describe trends in the supply, demographic, educational, practice, and geographic characteristics of nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists in North Carolina. Features statistics with breakdowns by nonmetropolitan counties compared with state population.
Author(s): Erin Fraher, Connor Sullivan, Catherine Moore, et al.
Date: 09/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Final Report of the Rural Texas Obstetrics Study
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
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Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
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Innovations in Rural Obstetrics to Maintain Access to Care
Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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Addressing Travel Costs for Providers of Field-Based Services in Medi-Cal
Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2024
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
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Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
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