Maternity Care Deserts: Key Drivers of the National Maternal Health Crisis.

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen
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引用次数: 0

Abstract

Maternal care deserts, defined as counties where there are no hospitals offering obstetric services or birth centers and no obstetricians, gynecologists, or certified nurse midwives, have a significant adverse effect on the quality of maternity care afforded women in the United States, especially Black women and women in rural areas. The maternal mortality rate for Black women in 2022 was 2.6 times higher than the rate for White women. The rate in the most rural counties is 1.6 times higher than the rate in large metropolitan counties. Across the nation, 36% of all US counties qualify as maternal care deserts, contributing to the country's poor placement globally among high-income nations. A recent report by the March of Dimes draws attention to the crisis in maternal health care. A number of interventions have been proposed by federal government entities to address the persistent problem. Family physicians in particular have a potential role in improving the situation as they represent the broadest geographic coverage of all maternity care providers.

产妇保健沙漠:全国产妇保健危机的主要驱动因素。
产妇护理沙漠的定义是,没有提供产科服务的医院或生育中心,没有产科医生、妇科医生或合格的助产士护士的县,对美国妇女,特别是黑人妇女和农村地区妇女获得的产妇护理质量产生了重大不利影响。2022年,黑人妇女的孕产妇死亡率是白人妇女的2.6倍。大多数农村县的自杀率是大城市县的1.6倍。在全国范围内,36%的美国县有资格成为孕产妇保健沙漠,导致该国在全球高收入国家中排名较低。“一角硬币行动”最近的一份报告提请人们注意产妇保健危机。联邦政府机构已经提出了一些干预措施来解决这个持续存在的问题。家庭医生在改善这种情况方面尤其具有潜在的作用,因为他们代表了所有产科护理提供者中最广泛的地理覆盖范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.90
自引率
6.90%
发文量
168
审稿时长
4-8 weeks
期刊介绍: Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.
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