Quality of Obstetric Care and Perinatal Safety in Rural Hospitals
Project goals: The project will examine obstetric care quality and perinatal safety in rural U.S. hospitals nationally, with a focus on rural hospitals in a nationally representative group of eight states. We will improve upon prior research by distinguishing elective obstetric procedures (e.g., labor induction, C-section), paying explicit attention to rural relevance in a broader range of measures, and analyzing quality-related policy implications.
Methods: Using hospital discharge data from Healthcare Cost and Utilization Project national and state databases, we will measure obstetric care quality related to delivery mode, elective procedures, and perinatal safety. We will examine longitudinal trends in these outcomes and characterize outcomes for types of rural hospitals (including CAHs) and for different levels of rurality. We will analyze hospital characteristics associated with particularly high or low quality outcomes, controlling for patient characteristics (e.g., age, type of insurance coverage, pregnancy complications).
Anticipated publications or products: Policy brief, peer-reviewed journal manuscript, and presentations at conferences and to key policy audiences such as the HRSA Maternal and Child Health Bureau, State Medicaid Programs, AHRQ, State Hospital Associations, and State Offices of Rural Health.
Obstetric Services and Quality Among Critical Access, Rural, and Urban Hospitals in Nine States
University of Minnesota Rural Health Research Center
This policy brief compares the characteristics and quality of obstetric care in critical access hospitals, other rural hospitals, and their urban counterparts.