PMID: 10107680Oct 1, 1990Paper

Children and pregnant women

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
L LawhorneH Tinker

Abstract

A review of the literature of the 1980s reveals that women living in rural American are at risk for receiving inadequate prenatal and maternal care. Documented risk factors include poverty and concomitant lack of medical insurance, residence in the most restrictive Medicaid states, and loss of local services including the closure of obstetric units of rural hospitals and the decision by local physicians to discontinue obstetrics. A prominent factor in a physician's decision to stop providing maternity care is the escalating cost of medical liability insurance; however, other forces are also at work, including interference with personal and family activities, disruption of other aspects of professional life (e.g., office schedule), inadequate reimbursement, and an inability to keep up with advancing technology. A research agenda for the 1990s should be consistent with previous recommendations and must stimulate the development of new programs that will induce the maximum number of providers to again offer high quality perinatal care to rural women. Other items on the 1990s research agenda include: (1) the clarification of the impact of lost perinatal services in rural areas, (2) the effects of travel time and distance on perinat...Continue Reading

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Citations

Dec 9, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·A C J RavelliB W J Mol
Jul 1, 1992·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·E H LarsonR A Rosenblatt
Jul 1, 1991·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·L L Clarke, R T Coward
Oct 1, 1993·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·R M SaywellJ K Ladd
May 1, 1997·Gender, Technology and Development·D Nathan, G Kelkar
Aug 31, 2010·International Journal of Health Services : Planning, Administration, Evaluation·K S Mohindra, Béatrice Nikiéma
Jul 22, 2005·Health Services Research·Michael ChernewPatricia Seliger Keenan
May 18, 2020·Omega·Julie S DomogallaRebecca Morse

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