The Rural Obstetric Workforce in US Hospitals: Challenges and Opportunities

Journal of Rural Health

Volumn 31, Issue 4, 2015, Pages 365-372

  Kozhimannil, Katy B ^a   Casey, Michelle M ^a   Hung, Peiyin ^a   Han, Xinxin ^a   Prasad, Shailendra ^a,b   Moscovice, Ira S ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

Access to care; Family medicine; Health services research; Hospitals; Physician supply

Indexed keywords

ADULT; COLORADO; EPIDEMIOLOGY; FEMALE; HOSPITAL; HUMAN; IOWA; KENTUCKY; MANPOWER; MATERNAL HEALTH SERVICE; NEW YORK; NORTH CAROLINA; OBSTETRIC DELIVERY; OBSTETRICS; OREGON; RURAL HEALTH CARE; RURAL POPULATION; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; VERMONT; WASHINGTON; WISCONSIN; YOUNG ADULT;

ADULT; COLORADO; DELIVERY, OBSTETRIC; FEMALE; HOSPITALS, RURAL; HUMANS; IOWA; KENTUCKY; MATERNAL HEALTH SERVICES; NEW YORK; NORTH CAROLINA; OBSTETRICS; OREGON; RURAL HEALTH SERVICES; RURAL POPULATION; SOCIOECONOMIC FACTORS; VERMONT; WASHINGTON; WISCONSIN; YOUNG ADULT;

EID: 84943268873     PISSN: 0890765X     EISSN: 17480361     Source Type: Journal    
DOI: 10.1111/jrh.12112     Document Type: Article

References (35)

1. Rayburn WF, Richards ME, Elwell EC. Drive times to hospitals with perinatal care in the United States. Obstet Gynecol. 2012;119(3):611-616.
2. Grzybowski S, Stoll K, Kornelsen J. Distance matters: a population based study examining access to maternity services for rural women. BMC Health Serv Res. 2011;11(1):147-155.
3. Zhao L. Why are fewer hospitals in the delivery business? Working paper No. 2007-04. Bethesda, MD: The Walsh Center for Rural Health Analysis; April 2007.
4. Simpson KR. An overview of distribution of births in United States hospitals in 2008 with implications for small volume perinatal units in rural hospitals. J Obstet Gynecol Neonatal Nurs. 2011;40(4):432-439.
5. Kozhimannil KB, Hung P, Prasad S, Casey M, McClellan M, Moscovice IS. Birth volume and the quality of obstetric care in rural hospitals. J Rural Health. 2014;30(4):335-343.
6. Institute of Medicine. Quality through Collaboration: The Future of Rural Health. Washington, DC: National Academy of Science Press; 2005.
7. Hart LG, Larson EH, Lishner DM. Rural definitions for health policy and research. Am J Public Health. 2005;95(7):1149-1155.
8. Health Disparities in Rural Women. Committee Opinion No. 586. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2014;123:384-388.
9. Cohen D, Coco A. Declining trends in the provision of prenatal care visits by family physicians. Ann Fam Med. 2009;7(2):128-133.
10. Tong ST, Makaroff LA, Xierali IM, Puffer JC, Newton WP, Bazemore AW. Family physicians in the maternity care workforce: factors influencing declining trends. Matern Child Health J. 2013;17(9):1576-1581.
11. Thompson MJ, Lynge DC, Larson EH, Tachawachira P, Hart LG. Characterizing the general surgery workforce in rural America. Arch Surg. 2005;140(1):74-79.
12. Bucklin BA, Hawkins JL, Anderson JR, Ullrich FA. Obstetric anesthesia workforce survey: twenty-year update. Anesthesiology. 2005;103(3):645-653.
13. Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. Am J Matern Child Nurs. 2009;34(6):365-371.
14. Probst JC, Moore CG, Glover SH, Samuels ME. Person and place: the compounding effects of race/ethnicity and rurality on health. Am J Public Health. 2004;94(10):1695-1703.
15. Baldwin L-M, Grossman DC, Murowchick E, et al. Trends in perinatal and infant health disparities between rural American Indians and Alaska natives and rural whites. Am J Public Health. 2009;99(4):638-646.
16. Kocher R, Sahni NR. Hospitals' race to employ physicians-the logic behind a money-losing proposition. N Engl J Med. 2011;364(19):1790-1793.
17. Iglehart JK. Doctor-workers of the world, unite! Health Aff (Millwood). 2011;30(4):556-558.
18. Kuklina EV, Whiteman MK, Hillis SD, et al. An enhanced method for identifying obstetric deliveries: implications for estimating maternal morbidity. Matern Child Health J. 2008;12(4):469-477.
19. Lee DM, Nichols T. Physician recruitment and retention in rural and underserved areas. Int J Health Care Qual Assur. 2014;27(7):642-652.
20. Satiani B, Williams T, Landon M, Ellison C, Gabbe S. A critical deficit of OBGYN surgeons in the US by 2030. Surg Sci. 2011;2(02):95-101.
21. Dresden GM, Laura-Mae B, Andrilla CHA, Skillman SM, Benedetti TJ. Influence of obstetric practice on workload and practice patterns of family. Ann Fam Med. 2008;6 (Suppl 1):5-11.
22. Kane CK, Emmons DW. New Data on Physician Practice Arrangements: Private Practice Remains Strong Despite Shifts Toward Hospital Employment. Chicago, IL: American Medical Association; 2013.
23. Nesbitt TS. Obstetrics in family medicine: can it survive? J Am Board Fam Pract. 2002;15(1):77-79.
24. American Academy of Family Physicians. Maternal/Child Care (Obstetrics/Perinatal Care). Available at: http://www.aafp.org/about/policies/all/maternal-child.html. Accessed August 8, 2014.
25. Coonrod RA, Kelly BF, Ellert W, Loeliger SF, Rodney WM, Deutchman M. Tiered maternity care training in family medicine. Fam Med. 2011;42(9):631-637.
26. Meunier MR, Apgar BS, Ratcliffe SD, Mullan PB. Plans to accommodate proposed maternity care training requirements: a national survey of family medicine directors of obstetrics curricula. J Am Board Fam Med. 2012;25(6):827-831.
27. Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev. 2013;3:CD002213.
28. Beasley JW, Dresang LT, Winslow DB, Damos JR. The Advanced Life Support in Obstetrics (ALSO®) Program: fourteen years of progress. Prehosp Disaster Med. 2005;20(04):271-275.
29. Merién AER, Van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol. 2010;115(5):1021-1031.
30. Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Jt Comm J Qual Patient Saf. 2011;37(8):357-364.
31. Marshall NE, Vanderhoeven J, Eden KB, Segel SY, Guise J-M. Impact of simulation and team training on postpartum hemorrhage management in non-academic centers. J Matern Neonatal Med. 2014; May 29:1-5. [Epub ahead of print].
32. RWHC Receives $254, 431 Federal Grant for Simulation Equipment Project for Advancing Nurse Competency. Rural Wisconsin Health Cooperative News Release, September 1, 2010. Available at: http://www.rwhc.com/Portals/0/papers/RWHC_HRSA_Nursing_Grant.pdf. Accessed February 9, 2015.
33. Curricula for Obstetric Emergency Response Drills and Safety. Oregon State Obstetric and Pediatric Research Collaboration. Available at: http://www.obsafety.org/content/blogcategory/53/101. Accessed August 13, 2014.
34. Odibo IN, Wendel PJ, Magann EF. Telemedicine in obstetrics. Clin Obstet Gynecol 2013;56(3):422-433.
35. Wood D. STORC helps deliver healthy babies: the telemedicine program that serves rural women with high-risk pregnancies. Telemed J E Health. 2011;17(1):2-4.