Julia Interrante, PhD, MPH
University of Minnesota Rural Health Research Center
Phone: 612.626.8401
Email: inter014@umn.edu
Division of Health Policy and Management
University of Minnesota
2221 University Ave. SE, Suite 350
Minneapolis, MN 55414
- Current Projects - (2)
- Completed Projects - (2)
- Publications - (21)
Current Projects - (2)
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Improving Racial Equity for Rural Mothers and Infants
The purpose of this project is to assess differences in maternal and infant health outcomes and access to perinatal care, among urban and rural counties. We will also compare health outcomes and availability of services, including evidence-based services and supports, between rural counties that are majority Black, Indigenous, and People of Color with those that are majority white.
Research center: University of Minnesota Rural Health Research Center
Topics: American Indians and Alaska Natives, Critical Access Hospitals, Health disparities and health equity, Healthcare access, Hospitals and clinics, Maternal health, Minority health, Rural statistics and demographics, Social determinants of health, Women
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Postpartum Morbidity and Mortality and Health Care Utilization in Rural vs. Urban Communities
Using 2006-2018 data from the National Health Interview Survey linked to the National Death Index through 2019, this project will examine postpartum mortality among rural and urban residents. We will also evaluate differences in health, health care utilization, and barriers to care across rural and urban communities.
Research center: University of Minnesota Rural Health Research Center
Topics: Health disparities and health equity, Healthcare access, Maternal health, Medicaid and CHIP, Mental and behavioral health, Private health insurance, Social determinants of health, Uninsured and underinsured, Women
Completed Projects - (2)
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Rural/Urban Differences in Postpartum Health Insurance, Healthcare Use, and Health Outcomes
The purpose of this project was to identify rural/urban differences in health insurance, healthcare use, and health outcomes among postpartum individuals, and to describe policy-relevant implications or strategies to improve insurance coverage, receipt of recommended healthcare, and, ultimately, health outcomes among rural residents who give birth. With a lens towards health equity, all analyses were stratified by race/ethnicity and income.
Research center: University of Minnesota Rural Health Research Center
Topics: American Indians and Alaska Natives, Health disparities and health equity, Healthcare access, Healthcare financing, Hispanics, Hospitals and clinics, Legislation and regulation, Maternal health, Medicaid and CHIP, Minority health, Private health insurance, Women
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Safe Obstetric Care Access for All Rural Residents: Minimum Standards for Clinical, Workforce, and Financial Viability of Rural Obstetric Units
The goal of this project was to analyze data from rural hospitals to understand the criteria by which hospitals and communities assess their need and capacity for obstetric care access in rural counties and to describe effective ways to operationalize minimum standards for clinical safety and financial viability for rural obstetric units.
Research center: University of Minnesota Rural Health Research Center
Topics: Critical Access Hospitals, Health disparities and health equity, Healthcare access, Hospitals and clinics, Maternal health, Women, Workforce
Publications - (21)
2023
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Eight Postpartum Support Programs in Rural Communities Across the United States
University of Minnesota Rural Health Research Center
Date: 08/2023
This case study series highlights locally focused organizations working to improve postpartum health for rural residents across the United States. Interviews were conducted with eight unique organizations working in their local rural communities to support postpartum health. -
State Differences in Recommended Components of Care Received During Postpartum Visits for Rural and Urban Residents, 2016-2019
Policy Brief
University of Minnesota Rural Health Research Center
Date: 07/2023
The purpose of this policy brief is to measure state-level differences in the receipt of recommended postpartum care components among rural and urban residents in the United States who gave birth from 2016 to 2019. -
Two National-Level Organizations Supporting Rural Postpartum Health Across the United States
University of Minnesota Rural Health Research Center
Date: 07/2023
The purpose of this case study series is to highlight national-level organizations working in innovative ways to improve postpartum health for rural residents across the United States. These may serve as examples to others considering this work. -
Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Journal Article
University of Minnesota Rural Health Research Center
Date: 03/2023
In this manuscript, the research team used data from the Pregnancy Risk Assessment Monitoring System to measure insurance coverage at prepregnancy, birth, and postpartum, and insurance coverage continuity across these periods among rural and urban U.S. residents.
2022
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Association of Health Insurance, Geography, and Race and Ethnicity With Disparities in Receipt of Recommended Postpartum Care in the U.S.
Journal Article
University of Minnesota Rural Health Research Center
Date: 10/2022
This study used data from the Pregnancy Risk Assessment Monitoring System and looked at receipt of recommended postpartum care content. The study describes variations across health insurance type, rural or urban residence, and race and ethnicity. -
Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents
Journal Article
University of Minnesota Rural Health Research Center
Date: 07/2022
This study aimed to understand the availability of evidence-based supports and services that promote maternal and infant health, in the rural U.S. The study developed a national survey of a sample of rural hospitals and determined the county-level scores on the 2018 CDC Social Vulnerability Index for each responding hospital. -
Racial Inequities in the Availability of Evidence-Based Supports for Maternal and Infant Health in 93 Rural U.S. Counties With Hospital-Based Obstetric Care
Policy Brief
University of Minnesota Rural Health Research Center
Date: 07/2022
This policy brief examines racial disparities in rural maternal and infant health outcomes between majority-Black, Indigenous, and People of Color versus majority-white rural counties and examines the availability of maternal and infant health evidence-based supports. -
Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care
Journal Article
University of Minnesota Rural Health Research Center
Date: 03/2022
This study offers results from a national survey of a sample of 292 rural hospitals that provided obstetric services in 2021. Obstetric unit administrators shared about their experiences, the challenges they face, and the decisions that factor into providing labor and birth care for their rural communities. -
An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status
University of Minnesota Rural Health Research Center
Date: 01/2022
The purpose of this methodology brief is to describe an enhanced method for identifying hospital-based obstetric unit status and for identifying closures of obstetric units.
2021
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State and Regional Differences in Access to Hospital-Based Obstetric Services for Rural Residents, 2018
Policy Brief
University of Minnesota Rural Health Research Center
Date: 08/2021
This policy brief measures state and regional differences in the availability of hospital-based obstetric services among rural hospitals in the U.S. in 2018. -
Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
University of Minnesota Rural Health Research Center
Date: 04/2021
This infographic provides an overview of characteristics of rural and urban hospitals in the United States that provide obstetric services, as well as rural hospitals that recently closed their obstetric units. -
Rural and Urban Hospital Characteristics by Obstetric Service Provision Status, 2010-2018
Policy Brief
University of Minnesota Rural Health Research Center
Date: 04/2021
The purpose of this policy brief is to illustrate the differences between urban and rural hospitals that provide obstetric services by their size, capacity, location, and community characteristics, as well as to compare these factors between rural hospitals with obstetric services and those that recently closed their obstetric units.
2020
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Local Capacity for Emergency Births in Rural Hospitals Without Obstetrics Services
Journal Article
University of Minnesota Rural Health Research Center
Date: 11/2020
As increasing numbers of rural hospitals stop offering maternity care, limited information is available about local preparedness to address obstetric emergencies. This paper explores the capacity to treat obstetric emergencies encountered among rural hospitals without obstetric units. -
Obstetric Emergencies in Rural Hospitals: Challenges and Opportunities
Policy Brief
University of Minnesota Rural Health Research Center
Date: 09/2020
The purpose of this policy brief is to describe the challenges rural hospitals face in providing emergency obstetric care and to highlight resources that could help rural hospitals more safely respond to obstetric emergencies. -
Characteristics of U.S. Rural Hospitals by Obstetric Service Availability, 2017
Journal Article
University of Minnesota Rural Health Research Center
Date: 08/2020
This study described characteristics of rural U.S. hospitals by whether they provide labor and delivery care for pregnant patients. Researchers used the 2017 American Hospital Association Annual Survey to identify rural hospitals and detail their characteristics based on whether they provide obstetric services. -
Providing Maternity Care in a Rural Northern Iowa Community
University of Minnesota Rural Health Research Center
Date: 08/2020
This case study highlights how one rural hospital in northern Iowa has successfully sustained a maternity care practice and identifies opportunities for other rural hospitals and communities seeking to ensure local access to care for pregnancy and childbirth. -
Changes in Hospital-Based Obstetric Services in Rural U.S. Counties, 2014-2018
Journal Article
University of Minnesota Rural Health Research Center
Date: 07/2020
In 2014, 54% of rural U.S. counties had no hospital-based obstetric services, following a steady decrease during the previous decade. Loss of rural maternity care is tied to adverse maternal and infant health outcomes. This study shares hospital-based obstetric service losses in rural U.S. counties from 2014 to 2018. -
Loss of Hospital-Based Obstetric Services in Rural Counties in the United States, 2004-2018
University of Minnesota Rural Health Research Center
Date: 07/2020
The purpose of this infographic is to show the loss of hospital-based obstetric services from 2004-2018 and how this differs by county type (micropolitan vs. noncore).
2019
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Rural-Urban Differences in Severe Maternal Morbidity and Mortality in the U.S., 2007-15
Journal Article
University of Minnesota Rural Health Research Center
Date: 12/2019
In the U.S., severe maternal morbidity and mortality (SMMM) is climbing—a reality that is especially challenging for rural communities, which face declining access to obstetric services. Using data for 2007-15 from the National Inpatient Sample, we analyzed SMMM during childbirth hospitalizations among rural and urban residents. -
Severe Maternal Morbidity and Hospital Transfer Among Rural Residents
Policy Brief
University of Minnesota Rural Health Research Center
Date: 11/2019
In this brief, we compare hospital transfer rates for rural and urban residents who gave birth. We also provide descriptive information about the relationship between transfer status and severe maternal morbidity and mortality for rural residents nationally who gave birth 2008-2014. -
Rural Focus and Representation in State Maternal Mortality Review Committees: Review of Policy and Legislation
Journal Article
University of Minnesota Rural Health Research Center
Date: 08/2019
Between 1990 and 2013, maternal mortality nearly doubled in the U.S., and rural residents experienced decreasing access to obstetric care. To improve maternal health, many states have established maternal mortality and morbidity review committees (MMRCs). We assessed the extent of rural representation in state policy efforts related to MMRCs.