ArticleJournal of perinatology : official journal of the California Perinatal Association2018
Rural-urban differences in access to hospital obstetric and neonatal care: how far is the closest one?
Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Summary of neonatal and maternal transport and reimbursement policies-a 5-year update.Journal of perinatology : official journal of the California Perinatal Association · 2022Pooled it
- Intranasal therapies for neonatal hypoxic-ischemic encephalopathy.Neural regeneration research · 2026Article
- Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Obstetric Care Access Declined In Rural And Urban Hospitals Across US States, 2010-22.Health affairs (Project Hope) · 2025Article
- Rural-urban differences in health care access for postpartum parent and infant dyads.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Mapping maternity care deserts: Driving distance and health outcomes in North Carolina.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Determining what matters: data resources for examining maternal health equity.Frontiers in public health · 2025Article
- Inferred Attractiveness Gravity-Based Models for Estimating Realized Access at Rural Hospitals.The Journal of the Operational Research Society · 2025Article
- Measuring disparities to emergency medicine with 200 million voter records: The case of rural hospital closures.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Obstetric transport in rural settings: Referral and transport of pregnant patients in a state without a perinatal regionalized system of care.Health services research · 2024Article
- Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy.Maternal and child health journal · 2024Article
- Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016-2018.The Permanente journal · 2024Article
- Health care use and health consequences of geographic lack of access to abortion and maternity care.Birth (Berkeley, Calif.) · 2024Article
- Navigating geographical disparities: access to obstetric hospitals in maternity care deserts and across the United States.BMC pregnancy and childbirth · 2024Article
- Rural/urban differences in rates and predictors of intimate partner violence and abuse screening among pregnant and postpartum United States residents.Health services research · 2024Article
- Disparity of Neonatal Care Visits by Region in Indonesia: A Secondary Data from Basic Health Research.Maternal and child health journal · 2024Article
- Rural-Urban Disparities in Hospital Admissions and Mortality Among Patients with COVID-19: Evidence from South Carolina from 2021 to 2022.Journal of community health · 2023Article
- Pediatric Hospitalizations at Rural and Urban Teaching and Nonteaching Hospitals in the US, 2009-2019.JAMA network open · 2023Article
- A Web-Based Intervention to Address Risk Factors for Maternal Morbidity and Mortality (MAMA LOVE): Development and Evaluation Study.JMIR pediatrics and parenting · 2023Article
- Exploring health literacy in patients with chronic diseases in Chongqing, China: a cross-sectional study.BMJ open · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo quantify drive distances to hospital obstetric services and advanced neonatal care and to examine such disparities by residential rurality and insurance type. STUDY
designData for all-payer maternal childbirth hospitalizations in 2002 (N = 661,240) and 2013 (N = 634,807) from nine geographically dispersed states were linked with the American Hospital Association annual surveys to identify maternal residence zip codes and the addresses of hospitals with obstetric services or advanced neonatal care.
resultsThe uneven geographic distribution of hospital obstetric and advanced neonatal care increased between 2002 and 2013, varying by maternal residential rurality and insurance type. Women in rural non-core areas, with Medicaid or no insurance, and living in counties with lower income and educational attainment, had to travel farther to the nearest hospital with obstetric services or neonatal care than their counterparts.
conclusionsWomen in communities that are already socioeconomically disadvantaged face increasing and substantial travel distances to access perinatal care.
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Registered trials
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