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Nesbitt TS, Connell FA, Hart LG, et al. Access to obstetric care in rural areas: effect on birth outcomes. Am J Public Health. 1990;80(7):814-8doi: 10.2105/ajph.80.7.814.
Nesbitt, T. S., Connell, F. A., Hart, L. G., & Rosenblatt, R. A. (1990). Access to obstetric care in rural areas: effect on birth outcomes. American journal of public health, 80(7), 814-8. https://doi.org/10.2105/ajph.80.7.814
Nesbitt, T S, et al. "Access to obstetric care in rural areas: effect on birth outcomes." American journal of public health vol. 80,7 (1990): 814-8. doi: https://doi.org/10.2105/ajph.80.7.814
Nesbitt TS, Connell FA, Hart LG, Rosenblatt RA. Access to obstetric care in rural areas: effect on birth outcomes. Am J Public Health. 1990 Jul;80(7):814-8. doi: 10.2105/ajph.80.7.814. PMID: 2356904; PMCID: PMC1404977.
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Am J Public Health. 1990 Jul;80(7):814-8. doi: 10.2105/ajph.80.7.814.

Access to obstetric care in rural areas: effect on birth outcomes.

American journal of public health

T S Nesbitt, F A Connell, L G Hart, R A Rosenblatt

Affiliations

  1. Department of Family Practice, University of California, Davis, Sacramento 95817.

PMID: 2356904 PMCID: PMC1404977 DOI: 10.2105/ajph.80.7.814
Free PMC Article

Abstract

Hospital discharge data from 33 rural hospital service areas in Washington State were categorized by the extent to which patients left their local communities for obstetrical services. Women from communities with relatively few obstetrical providers in proportion to number of births were less likely to deliver in their local community hospital than women in rural communities with greater numbers of physicians practicing obstetrics in proportion to number of births. Women from these high-outflow communities had a greater proportion of complicated deliveries, higher rates of prematurity, and higher costs of neonatal care than women from communities where most patients delivered in the local hospital.

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