Arid
DOI10.22605/RRH6137
Kansas maternity deserts: a cross-sectional study of rural obstetric providers
Taporco, Jason S.; Wolfe, Elizabeth; Chavez, Gabriela; Allen, Zev; Estrada, Jasmine; Thomson, Kelly; Mettling, Jennifer; Kennedy, Michael
通讯作者Taporco, JS (corresponding author), Univ Kansas, Sch Med, Kansas City, KS 66103 USA.
来源期刊RURAL AND REMOTE HEALTH
ISSN1445-6354
出版年2021
卷号21期号:1
英文摘要Introduction: Kansas is a predominantly rural state that had 9853 rural births in 2018. The Kansas Rural Obstetrical Access Task Force was formed to study and address factors affecting these births. One of these factors is the distance between mothers and the location of maternity services. Poor access leading to increased travel times between mothers and maternity care providers has been associated with a greater rate of pregnancy complications, premature birth, and higher cost of care. In Kansas, the current state of access is not clearly described. Adding to the concern were reports of rural hospital closures and provider cessation of maternity care services. This was likely leading to 'maternity deserts': entire counties that have no maternity care providers. The goal of this project was to identify who currently delivers babies in Kansas, map their location, and determine future plans for maternity care service provision. Methods: The study began by dividing the state of Kansas into counties by population density and by identifying current practitioners in the state. Once identified, providers were sent a 72-item mixed methods survey with content including demographics, practice location, provision of maternity care, and intents on future practice changes. Results: Analysis of the survey responses led to a clearer picture of the current state of maternity care provider distribution in Kansas. This revealed multiple existing maternity deserts and a projected expansion of these deserts over the next 10 years. Conclusion: The current distribution of maternity care services in Kansas reveals numerous maternity deserts, and provider survey projections as far forward as 2030 show expansion of these deserts. This poor access to care may be contributing to unnecessary pregnancy complications. With the extent of this issue identified, targeted efforts toward narrowing the current and expanding maternity deserts are being implemented.
英文关键词access maternity desert obstetric USA
类型Article
语种英语
开放获取类型gold
收录类别SCI-E ; SSCI
WOS记录号WOS:000629602100011
WOS关键词STILLBIRTH ; PHYSICIANS ; AUSTRALIA ; BIRTH ; CARE
WOS类目Public, Environmental & Occupational Health
WOS研究方向Public, Environmental & Occupational Health
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/351607
作者单位[Taporco, Jason S.; Wolfe, Elizabeth; Chavez, Gabriela; Allen, Zev; Estrada, Jasmine; Thomson, Kelly; Mettling, Jennifer] Univ Kansas, Sch Med, Kansas City, KS 66103 USA; [Kennedy, Michael] Univ Kansas, Sch Med, Off Rural Med, Kansas City, KS 66160 USA
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GB/T 7714
Taporco, Jason S.,Wolfe, Elizabeth,Chavez, Gabriela,et al. Kansas maternity deserts: a cross-sectional study of rural obstetric providers[J],2021,21(1).
APA Taporco, Jason S..,Wolfe, Elizabeth.,Chavez, Gabriela.,Allen, Zev.,Estrada, Jasmine.,...&Kennedy, Michael.(2021).Kansas maternity deserts: a cross-sectional study of rural obstetric providers.RURAL AND REMOTE HEALTH,21(1).
MLA Taporco, Jason S.,et al."Kansas maternity deserts: a cross-sectional study of rural obstetric providers".RURAL AND REMOTE HEALTH 21.1(2021).
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