Rural Health
Resources by Topic: Maternal health workforce
Access to Maternity and Obstetric Care in Rural Pennsylvania
Examines access to maternity care in rural Pennsylvania, using federal- and state-level data to determine the distribution of birthing facilities and birth attendants. Includes a workforce analysis to forecast the supply of and demand for care providers and to identify gaps where supply will not meet demand. Provides a survey of stakeholders and key informants, to identify strengths, weaknesses, opportunities, threats, and solutions to improving access to maternity care.
Additional links: Executive Summary
Author(s): Sharon Bernecki DeJoy, David J. Doorn
Date: 04/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Examines access to maternity care in rural Pennsylvania, using federal- and state-level data to determine the distribution of birthing facilities and birth attendants. Includes a workforce analysis to forecast the supply of and demand for care providers and to identify gaps where supply will not meet demand. Provides a survey of stakeholders and key informants, to identify strengths, weaknesses, opportunities, threats, and solutions to improving access to maternity care.
Additional links: Executive Summary
Author(s): Sharon Bernecki DeJoy, David J. Doorn
Date: 04/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year
Examines the stability of the rural healthcare safety net. Discusses disparities between rural and urban communities and communities with hospitals vulnerable to closure. Describes the benefits of COVID-19 relief funding on rural hospitals and how scheduled reimbursement cuts and staffing shortages could impact hospitals' financial stability. Also discusses how staffing shortages impact access to obstetrics and chemotherapy care in rural areas.
Date: 02/2022
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Examines the stability of the rural healthcare safety net. Discusses disparities between rural and urban communities and communities with hospitals vulnerable to closure. Describes the benefits of COVID-19 relief funding on rural hospitals and how scheduled reimbursement cuts and staffing shortages could impact hospitals' financial stability. Also discusses how staffing shortages impact access to obstetrics and chemotherapy care in rural areas.
Date: 02/2022
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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An Assessment of Indiana's Maternity Care Workforce: 2022 Report
Reports on the overall supply and geographic distribution of the maternity care workforce in Indiana including physicians and various types of advanced practice registered nurses (APRNs). Includes county-level data and maps of maternity care practice settings with indicators for metro and nonmetro counties.
Date: 2022
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Reports on the overall supply and geographic distribution of the maternity care workforce in Indiana including physicians and various types of advanced practice registered nurses (APRNs). Includes county-level data and maps of maternity care practice settings with indicators for metro and nonmetro counties.
Date: 2022
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Improving Access to Care in Underserved Rural Communities: Eighteenth Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress regarding primary care training and education. Recommendations aim to advance health equity through enhanced support of primary care workforce training to address health barriers in rural and other underserved communities. Covers longitudinal clinical training in rural primary care, integrating oral and behavioral health in primary care, enhancing telehealth capacity, and supporting interprofessional team-based education and practice in maternal-infant care.
Date: 11/2021
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress regarding primary care training and education. Recommendations aim to advance health equity through enhanced support of primary care workforce training to address health barriers in rural and other underserved communities. Covers longitudinal clinical training in rural primary care, integrating oral and behavioral health in primary care, enhancing telehealth capacity, and supporting interprofessional team-based education and practice in maternal-infant care.
Date: 11/2021
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Family Physicians in Rural America: Training, Distribution, and Scope of Practice
Webinar presented November 9, 2021, exploring training of family physicians in rural areas, family physician workforce distribution, and rural/urban differences in scope of practice. Features statistics including availability of obstetrical clinicians as of 2019, with breakdowns by metropolitan, micropolitan, and noncore locations.
Additional links: Presentation Slides, Transcript
Author(s): Lars Peterson, Davis Patterson
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Webinar presented November 9, 2021, exploring training of family physicians in rural areas, family physician workforce distribution, and rural/urban differences in scope of practice. Features statistics including availability of obstetrical clinicians as of 2019, with breakdowns by metropolitan, micropolitan, and noncore locations.
Additional links: Presentation Slides, Transcript
Author(s): Lars Peterson, Davis Patterson
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
Type: Document
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Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
Type: Document
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Restoring Access to Maternity Care in Rural America
Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Date: 09/2021
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Date: 09/2021
Type: Document
Sponsoring organization: Commonwealth Fund
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Type: Document
Sponsoring organization: Texas Health and Human Services
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Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Type: Document
Sponsoring organization: Texas Health and Human Services
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Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study
Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
Type: Document
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Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
Type: Document
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Projections of Supply and Demand for Women's Health Service Providers: 2018-2030
Presents projections of supply and demand for obstetricians/gynecologists, certified nurse midwives, nurse practitioners, and physician assistants, and discusses the contribution of family medicine physicians in the delivery of women's health services. Features statistics with breakdowns by metropolitan and nonmetropolitan location.
Date: 03/2021
Type: Document
Sponsoring organizations: Bureau of Health Workforce, National Center for Health Workforce Analysis
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Presents projections of supply and demand for obstetricians/gynecologists, certified nurse midwives, nurse practitioners, and physician assistants, and discusses the contribution of family medicine physicians in the delivery of women's health services. Features statistics with breakdowns by metropolitan and nonmetropolitan location.
Date: 03/2021
Type: Document
Sponsoring organizations: Bureau of Health Workforce, National Center for Health Workforce Analysis
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