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Rural resilience: The role of birth centers in the United States
PURPOSE: To explore the role of the birth center model of care in rural health and maternity care delivery in the United States. METHODS: All childbearing families enrolled in care at an American Association of Birth Centers Perinatal Data Registry(TM) user sites between 2012 and 2020 are included i...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839501/ https://www.ncbi.nlm.nih.gov/pubmed/33270283 http://dx.doi.org/10.1111/birt.12516 |
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author | Jolles, Diana Stapleton, Susan Wright, Jennifer Alliman, Jill Bauer, Kate Townsend, Carla Hoehn‐Velasco, Lauren |
author_facet | Jolles, Diana Stapleton, Susan Wright, Jennifer Alliman, Jill Bauer, Kate Townsend, Carla Hoehn‐Velasco, Lauren |
author_sort | Jolles, Diana |
collection | PubMed |
description | PURPOSE: To explore the role of the birth center model of care in rural health and maternity care delivery in the United States. METHODS: All childbearing families enrolled in care at an American Association of Birth Centers Perinatal Data Registry(TM) user sites between 2012 and 2020 are included in this descriptive analysis. FINDINGS: Between 2012 and 2020, 88 574 childbearing families enrolled in care with 82 American Association of Birth Centers Perinatal Data Registry(TM) user sites. Quality outcomes exceeded national benchmarks across all geographic regions in both rural and urban settings. A stable and predictable rate of transfer to a higher level of care was demonstrated across geographic regions, with over half of the population remaining appropriate for birth center level of care throughout the perinatal episode of care. Controlling for socio demographic and medical risk factors, outcomes were as favorable for clients in rural areas compared with urban and suburban communities. CONCLUSIONS: Rural populations cared for within the birth center model of care experienced high‐quality outcomes. HEALTH POLICY IMPLICATIONS: A major focus of the United States maternity care reform should be the expansion of access to birth center models of care, especially in underserved areas such as rural communities. |
format | Online Article Text |
id | pubmed-7839501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78395012021-02-01 Rural resilience: The role of birth centers in the United States Jolles, Diana Stapleton, Susan Wright, Jennifer Alliman, Jill Bauer, Kate Townsend, Carla Hoehn‐Velasco, Lauren Birth Original Articles PURPOSE: To explore the role of the birth center model of care in rural health and maternity care delivery in the United States. METHODS: All childbearing families enrolled in care at an American Association of Birth Centers Perinatal Data Registry(TM) user sites between 2012 and 2020 are included in this descriptive analysis. FINDINGS: Between 2012 and 2020, 88 574 childbearing families enrolled in care with 82 American Association of Birth Centers Perinatal Data Registry(TM) user sites. Quality outcomes exceeded national benchmarks across all geographic regions in both rural and urban settings. A stable and predictable rate of transfer to a higher level of care was demonstrated across geographic regions, with over half of the population remaining appropriate for birth center level of care throughout the perinatal episode of care. Controlling for socio demographic and medical risk factors, outcomes were as favorable for clients in rural areas compared with urban and suburban communities. CONCLUSIONS: Rural populations cared for within the birth center model of care experienced high‐quality outcomes. HEALTH POLICY IMPLICATIONS: A major focus of the United States maternity care reform should be the expansion of access to birth center models of care, especially in underserved areas such as rural communities. John Wiley and Sons Inc. 2020-12-03 2020-12 /pmc/articles/PMC7839501/ /pubmed/33270283 http://dx.doi.org/10.1111/birt.12516 Text en © 2020 The Authors. Birth published by Wiley Periodicals LLC This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Jolles, Diana Stapleton, Susan Wright, Jennifer Alliman, Jill Bauer, Kate Townsend, Carla Hoehn‐Velasco, Lauren Rural resilience: The role of birth centers in the United States |
title | Rural resilience: The role of birth centers in the United States |
title_full | Rural resilience: The role of birth centers in the United States |
title_fullStr | Rural resilience: The role of birth centers in the United States |
title_full_unstemmed | Rural resilience: The role of birth centers in the United States |
title_short | Rural resilience: The role of birth centers in the United States |
title_sort | rural resilience: the role of birth centers in the united states |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839501/ https://www.ncbi.nlm.nih.gov/pubmed/33270283 http://dx.doi.org/10.1111/birt.12516 |
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