Rural Health
Resources by Topic: Maternal health and prenatal care
HHS Maternal-Child Health Emergency Planning Toolkit
Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Sponsoring organization: U.S. Department of Health and Human Services
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Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Sponsoring organization: U.S. Department of Health and Human Services
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Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries
Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
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Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
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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
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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
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Maternal Mortality and Morbidity: Additional Efforts Needed to Assess Program Data for Rural and Underserved Areas
Provides an overview of maternal health disparities in rural and underserved areas, as well as health system, socioeconomic, and patient factors that can contribute to maternal health outcomes. Includes information on Centers for Disease Control and Prevention (CDC) and Health Resources and Services Administration (HRSA) programs implemented to reduced maternal morbidity and severe maternal mortality. Describes how CDC and HRSA use the data they collect and offers recommendations to improve the utilization of this data and coordination across federal agencies.
Additional links: Full Report
Date: 04/2021
Sponsoring organization: Government Accountability Office
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Provides an overview of maternal health disparities in rural and underserved areas, as well as health system, socioeconomic, and patient factors that can contribute to maternal health outcomes. Includes information on Centers for Disease Control and Prevention (CDC) and Health Resources and Services Administration (HRSA) programs implemented to reduced maternal morbidity and severe maternal mortality. Describes how CDC and HRSA use the data they collect and offers recommendations to improve the utilization of this data and coordination across federal agencies.
Additional links: Full Report
Date: 04/2021
Sponsoring organization: Government Accountability Office
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Rural and Urban Hospital Characteristics by Obstetric Service Provision Status, 2010-2018
Illustrates the differences between urban and rural hospitals providing obstetric (OB) services. Compares them by size, capacity, location, and community characteristics, and compares these factors between rural hospitals with OB units and those that had discontinued services during the study period. Features statistics with breakdowns by urban and rural location.
Additional links: Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
Author(s): Julia D. Interrante, Lindsay K. Admon, Mariana S. Tuttle, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 04/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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Illustrates the differences between urban and rural hospitals providing obstetric (OB) services. Compares them by size, capacity, location, and community characteristics, and compares these factors between rural hospitals with OB units and those that had discontinued services during the study period. Features statistics with breakdowns by urban and rural location.
Additional links: Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
Author(s): Julia D. Interrante, Lindsay K. Admon, Mariana S. Tuttle, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 04/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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New Hampshire Statewide Primary Care Needs Assessment
Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Sponsoring organization: New Hampshire Rural Health & Primary Care
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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
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
Sponsoring organizations: Bureau of Health Workforce, National Center for Health Workforce Analysis
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Addressing the Maternal Health Crisis
Documentation of a March 23, 2021, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies hearing on maternal health disparities. Discusses causes and possible policy options to reduce these disparities.
Date: 03/2021
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Documentation of a March 23, 2021, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies hearing on maternal health disparities. Discusses causes and possible policy options to reduce these disparities.
Date: 03/2021
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Partnering to Improve Birth Outcomes in a Rural Community: Kearny County Hospital, Lakin, KS
Highlights the Pioneer Baby program, a partnership between Kearny County Hospital, a Critical Access Hospital in rural Lakin, Kansas, and the University of Kansas School of Medicine-Wichita. Discusses how funding from grants and local employers enhanced the obstetrics program. Describes how the partnership worked to improve pregnancy and birth outcomes and presents lessons learned.
Date: 02/2021
Sponsoring organization: American Hospital Association
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Highlights the Pioneer Baby program, a partnership between Kearny County Hospital, a Critical Access Hospital in rural Lakin, Kansas, and the University of Kansas School of Medicine-Wichita. Discusses how funding from grants and local employers enhanced the obstetrics program. Describes how the partnership worked to improve pregnancy and birth outcomes and presents lessons learned.
Date: 02/2021
Sponsoring organization: American Hospital Association
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