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Rural Health
Resources by Topic: Women

Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Expecting More: Addressing America's Maternal and Infant Health Crisis
Provides recording and witness testimony from the U.S. House of Representatives' Joint Subcommittee on Health, Employment, Labor, and Pensions and Workforce Protections Hearing on maternal mortality and disparities in maternal and infant care. Testimony includes some discussion of maternity care in rural areas.
Additional links: Joia Crear Perry Testimony, Stacey D. Stewart Testimony, Video of Hearing
Date: 01/2020
Type: Website
Sponsoring organization: U.S. House of Representatives
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Support for Rural Practice: Female Physicians and the Life-Career Interface
Reports on the results of a survey of 20 female physicians from the same rural focused family medicine residency, over a 3-month period, to identify emerging themes regarding their experience practicing in rural areas of northwestern United States.
Author(s): Kimberly Stutzman, Ruth Ray Karpen, Pragna Naidoo, et al.
Citation: Rural and Remote Health, 20(1), 5341
Date: 01/2020
Type: Document
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Maternal Morbidity among Women in Medicaid
Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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A Bivariate Mapping Tutorial for Cancer Control Resource Allocation Decisions and Interventions
Discusses the utility of geographic information systems software (ArcGIS) with public health data to inform resource allocation and public health interventions for cancer control planning. Provides step-by-step guidance for developing a bivariate choropleth map (map of two variables) using county data from South Carolina's Behavioral Risk Factor Surveillance System for cervical cancer screening, and data on the availability of cervical cancer screening providers in South Carolina's Breast and Cervical Cancer Early Detection Program.
Author(s): Claire Biesecker, Whitney E. Zahnd, Heather M. Brandt, Swann Arp Adams, Jan M. Eberth
Citation: Preventing Chronic Disease, 17
Date: 01/2020
Type: Document
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Cancer in Michigan 2020
Provides an overview of Michigan's cancer burden with data showing cancer rates by race, gender, and type of cancer, as well as mortality rates and cancer incidence by county. Includes rural versus urban comparisons of health behaviors such as smoking, drinking, and cancer screenings.
Date: 2020
Type: Document
Sponsoring organization: Michigan Department of Health and Human Services
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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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2020 Navajo Nation Maternal and Child Health Needs Assessment
Report documenting a Maternal and Child Health (MCH) Needs Assessment for the Navajo Nation reservation. Describes health status, healthcare system strengths and weaknesses, and uses a Navajo-specific cultural framework to discuss health outcomes in relation to environmental, community, family, and individual health. Offers data on demographics, environmental health, women's health, maternal health, perinatal and infant health, child health, and adolescent health.
Date: 2020
Type: Document
Sponsoring organizations: Arizona Department of Health Services, Navajo Nation Department of Health, Navajo Native American Research Centers for Health
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Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–15
Analyzes severe maternal morbidity and mortality among rural and urban residents during childbirth. Examines data from the 2007-2015 National Inpatient Sample with breakdowns according to age, insurance type, race/ethnicity, income, Census region, and rurality. Discusses policy implications and strategies to reduce maternal morbidity and mortality.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, Lindsay K. Admon
Citation: Health Affairs, 38, 12
Date: 12/2019
Type: Document
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