Rural Health
Resources by Topic: Maternal health workforce
Determinants of Rural-Urban Differences in Health Care Provider Visits Among Women of Reproductive Age in the United States
Uses nationally representative data to investigate whether rural and urban women of reproductive age experience differences in healthcare provider visits. Features rural/urban comparisons on individual- and county-level characteristics and medical provider visits by type of healthcare professional.
Author(s): Hyunjung Lee, Ashley H. Hirai, Ching-Ching Claire Lin, John E. Snyder
Citation: PLos One, 15(12), e0240700
Date: 2020
Type: Document
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Uses nationally representative data to investigate whether rural and urban women of reproductive age experience differences in healthcare provider visits. Features rural/urban comparisons on individual- and county-level characteristics and medical provider visits by type of healthcare professional.
Author(s): Hyunjung Lee, Ashley H. Hirai, Ching-Ching Claire Lin, John E. Snyder
Citation: PLos One, 15(12), e0240700
Date: 2020
Type: Document
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The Landscape of Obstetric Resources and Risks in Indiana: A Framework for Informing Policy
Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Health Management Associates, KFF
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Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Health Management Associates, KFF
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Promoting Maternal Health in Rural and Underserved Areas
Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Type: Document
Sponsoring organization: Mercatus Center, George Mason University
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Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Type: Document
Sponsoring organization: Mercatus Center, George Mason University
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California's Midwives: How Scope of Practice Laws Impact Care
Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It.
Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Rural Health Research Recap: Rural Obstetric Services: Access, Workforce, and Impact
Summarizes recent research by Rural Health Research Centers on access to obstetrics (OB) care in rural areas, the rural OB workforce, and the impact of limited OB access for rural counties. Includes a map showing hospital OB services in rural counties, where they have closed from 2004-2014, and a chart with the percent of clinicians by type attending deliveries in rural hospitals.
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research by Rural Health Research Centers on access to obstetrics (OB) care in rural areas, the rural OB workforce, and the impact of limited OB access for rural counties. Includes a map showing hospital OB services in rural counties, where they have closed from 2004-2014, and a chart with the percent of clinicians by type attending deliveries in rural hospitals.
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Access to Rural Maternity Care
Policy paper describing obstetric care for rural women in the U.S. Covers challenges to providing access to rural maternity care, such as healthcare quality, birth outcomes, workforce shortages, access, and financial challenges. Includes discussion on policy alternatives and considerations to address workforce issues, barriers to practicing obstetrics in rural areas, and increasing access to maternity care services.
Author(s): Britta Anderson, Adam Gingery, Maeve McClellan, et al.
Date: 01/2019
Type: Document
Sponsoring organization: National Rural Health Association
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Policy paper describing obstetric care for rural women in the U.S. Covers challenges to providing access to rural maternity care, such as healthcare quality, birth outcomes, workforce shortages, access, and financial challenges. Includes discussion on policy alternatives and considerations to address workforce issues, barriers to practicing obstetrics in rural areas, and increasing access to maternity care services.
Author(s): Britta Anderson, Adam Gingery, Maeve McClellan, et al.
Date: 01/2019
Type: Document
Sponsoring organization: National Rural Health Association
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Supporting Family Physician Maternity Care Providers
Summarizes strategies, provides suggestions, and examines the role family physicians play in providing maternity care to the underserved. Also presents ideas for training and retaining family physician maternity care providers in rural areas.
Author(s): Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, et al.
Citation: Family Medicine, 50(9), 662-671
Date: 10/2018
Type: Document
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Summarizes strategies, provides suggestions, and examines the role family physicians play in providing maternity care to the underserved. Also presents ideas for training and retaining family physician maternity care providers in rural areas.
Author(s): Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, et al.
Citation: Family Medicine, 50(9), 662-671
Date: 10/2018
Type: Document
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