Barriers and Facilitators to Obstetric Care in Rural Wisconsin Communities.

IF 1.4 4区医学 Q3 FAMILY STUDIES

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-08-07 DOI:10.1097/FCH.0000000000000460

Madeline Edgerly, Leslie Ruffalo, Marin Burkle

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引用次数: 0

Abstract

Background and objectives: As many rural hospitals continue to close their labor and delivery units and the gap between the demand for and supply of physicians practicing obstetrics continues to grow, this study seeks to understand the barriers and facilitators to delivering obstetric care in rural Wisconsin communities.

Methods: We conducted interviews with rural-based family medicine and OB-GYN physicians to glean their perspectives on challenges and opportunities that they face in the provision of high-quality obstetrical care and used thematic analysis techniques to generate results.

Results: We interviewed 21 physicians that currently practice or have practiced obstetrics in rural Wisconsin hospitals, consisting of 11 family medicine physicians and 10 OB-GYN physicians. Key themes emphasized 1) Patient Safety Programs and Training, 2) Staffing, and 3) Physician Involvement in Hospital Changes.

Conclusions: Future considerations in rural obstetric care will involve hands-on education for obstetric teams, agreements with larger hospitals, and retention of a strong obstetric team committed to the community. Implementing training programs to supplement lower annual deliveries and creating a network of support among colleagues and health systems are imperative to sustain and build rural obstetric care.

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威斯康星州农村社区产科护理的障碍和促进因素。

背景和目的：由于许多农村医院继续关闭他们的劳动和分娩单位和医师执业产科的需求和供应之间的差距继续增长，本研究旨在了解在威斯康星州农村社区提供产科护理的障碍和促进因素。方法：我们对以农村为基础的家庭医学和妇产科医生进行了访谈，以收集他们对提供高质量产科护理所面临的挑战和机遇的看法，并使用主题分析技术产生结果。结果：我们采访了21名目前或曾经在威斯康星州农村医院从事产科工作的医生，其中包括11名家庭医学医生和10名妇产科医生。关键主题强调1)患者安全计划和培训，2)人员配置，以及3)医生参与医院变革。结论：农村产科护理的未来考虑将包括产科团队的实践教育，与大医院的协议，以及保留一支致力于社区的强大产科团队。实施培训规划以补充较低的年度分娩，并在同事和卫生系统之间建立支持网络，是维持和建设农村产科护理的必要条件。

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

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.