Mapping the Location of Health Centers in Relation to 'Maternity Care Deserts': Associations With Utilization of Women's Health Providers and Services
| Autor: | Drishti Pillai, Anne Rossier Markus |
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| Rok vydání: | 2021 |
| Předmět: |
Research design
Adult medicine.medical_specialty MEDLINE Medically Underserved Area Certification Prenatal care Midwifery nurse practitioners maternity care services utilization Maternity care Pregnancy Health care medicine Ambulatory Care Humans community health centers maternity care deserts Maternal Health Services Geography business.industry Public Health Environmental and Occupational Health Physicians Family Prenatal Care Original Articles Patient Acceptance of Health Care Delivery Obstetric United States Obstetrics Cross-Sectional Studies Gynecology Family medicine Health Care Surveys Community health Women's Health Female business Healthcare providers Facilities and Services Utilization |
| Zdroj: | Medical Care |
| ISSN: | 1537-1948 |
| Popis: | Background and objectives The aim was to explore the association between community health centers' (CHC) distance to a "maternity care desert" (MCD) and utilization of maternity-related health care services, controlling for CHC and county-level factors. Measures Utilization as: total number of CHC visits to obstetrician-gynecologists, certified nurse midwives, family physicians (FP), and nurse practitioners (NP); total number of prenatal care visits and deliveries performed by CHC staff. Research design Cross-sectional design comparing utilization between CHCs close to MCDs and those that were not, using linked 2017 data from the Uniform Data System (UDS), American Hospital Association Survey, and Area Health Resource Files. On the basis of prior research, CHCs close to a "desert" were hypothesized to provide higher numbers of FP and NP visits than obstetrician-gynecologists and certified nurse midwives visits. The sample included 1261 CHCs and all counties in the United States and Puerto Rico (n=3234). Results Results confirm the hypothesis regarding NP visits but are mixed for FP visits. CHCs close to "deserts" had more NP visits than those that were not. There was also a dose-response effect by MCD classification, with NP visits 3 times higher at CHCs located near areas without any outpatient and inpatient access to maternity care. Conclusions CHCs located closer to "deserts" and NPs working at these comprehensive, primary care clinics have an important role to play in providing access to maternity care. More research is needed to determine how best to target resources to these limited access areas. |
| Databáze: | OpenAIRE |
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