Laura-Mae Baldwin, MD, MPH

WWAMI Rural Health Research Center

Phone: 206.685.4799
Email: lmb@fammed.washington.edu

WWAMI Rural Health Research Center
University of Washington
Department of Family Medicine
Box 354696
Seattle, WA 98195-4696


Completed Projects - (9)


Publications - (20)

  • Access to Cancer Services for Rural Colorectal Cancer Patients
    WWAMI Rural Health Research Center
    Date: 2008
    Includes findings from a study to determine how far rural and urban colorectal cancer (CRC) patients travel to three types of specialty cancer care services-surgery, medical oncology consultation, and radiation oncology consultation.
  • Access to Specialty Health Care for Rural American Indians in Two States
    WWAMI Rural Health Research Center
    Date: 06/2008
    Examines access to specialty services among rural Indian populations in Montana and New Mexico, based on a survey sent to primary care providers addressing access to specialty physicians, perceived barriers to access, and access to nonphysician clinical services.
  • American Indians and Alaska Natives: How Do They Find Their Path to Medical School?
    WWAMI Rural Health Research Center
    Date: 01/2004
    Describes the findings of a study to understand the paths of American Indian and Alaska Native (AI/AN) students who successfully entered medical school.
  • Do Rural Patients with Early-Stage Prostate Cancer Gain Access to All Treatment Choices? (Final Report)
    Report
    WWAMI Rural Health Research Center
    Date: 02/2014

    Compares rates of receipt of prostate cancer treatments and of the different treatment options between early-stage prostate cancer patients living in urban and four levels of rural counties.

  • Emergency Department Use by the Rural Elderly
    WWAMI Rural Health Research Center
    Date: 2000
    This study uses Medicare data to compare emergency department (ED) use by rural and urban elderly beneficiaries. Given the similarity of diagnostic conditions associated with ED visits, rural EDs must be capable of dealing with the same range of emergency conditions as urban EDs.
  • Explaining Black-White Differences in Receipt of Recommended Colon Cancer Treatment
    WWAMI Rural Health Research Center
    Date: 2005
    Black-white disparities exist in receipt of recommended medical care, including colorectal cancer treatment. This retrospective cohort study examines the degree to which health systems (e.g., physician, hospital) factors explain black-white disparities in colon cancer care. Black and white Medicare-insured colon cancer patients have an equal opportunity to learn about adjuvant chemotherapy from a medical oncologist but do not receive chemotherapy equally. Little disparity was explained by health systems; more was explained by illness severity, social support, and environment. Further qualitative research is needed to understand the factors that influence the lower receipt of chemotherapy by black patients.
  • Gender-Related Factors in the Recruitment of Generalist Physicians to the Rural Northwest
    WWAMI Rural Health Research Center
    Date: 02/2001
    Examines differences in the factors female and male generalist physicians considered influential in their rural practice location choice and identifies the practice arrangements that attracted female generalist physicians to rural areas. Findings include: women were more likely than men to have been influenced in practice choice by issues related to spouse/personal partner, flexible scheduling, family leave, and availability of childcare; women were more highly influenced by the interpersonal aspects of recruitment; and men and women were equally likely to consider community factors, practice content, practice partner compatibility, and financial issues. Findings indicate that rural communities and practices recruiting physicians should place high priority on practice scheduling, spouse/partner, and interpersonal issues in the recruiting process if they want to achieve a gender-balanced physician workforce. Report available by contacting the Center.
  • Improving the Quality of Outpatient Care for Older Patients with Diabetes: Lessons from a Comparison of Rural and Urban Communities
    WWAMI Rural Health Research Center
    Date: 08/2001
    Compares the quality of diabetic care received by patients in rural and urban communities in Washington State. Concludes that large rural towns may provide the best conditions for high-quality care-growing communities that serve as regional referral centers and have an adequate, but not excessive, supply of generalist and specialist physicians.
  • Inadequate Prenatal Care Among Racial and Ethnic Groups in the Rural United States, 2005
    WWAMI Rural Health Research Center
    Date: 10/2013

    Reports that in most states, rural minority racial/ethnic groups had levels of inadequate prenatal care (less than 50% of expected visits) in the “worst” or “worse than mid-range” categories.

  • Inadequate Prenatal Care in the Rural United States, 2005
    WWAMI Rural Health Research Center
    Date: 10/2013

    Reports that the states with levels of rural inadequate prenatal care (less than 50% of expected visits) in the “worst” or “worse than mid-range” categories were largely in southern and southwestern areas of the United States.

  • Low Birth Weight Rates Among Racial and Ethnic Groups in the Rural United States, 2005
    WWAMI Rural Health Research Center
    Date: 10/2013
    Reports that non-hispanic blacks generally had the highest rural low birth weight rates of all races/ethnicities, regardless of geographic location.
  • Low Birth Weight Rates in the Rural United States, 2005
    WWAMI Rural Health Research Center
    Date: 10/2013
    Reports that the rural U.S. low birth weight rate in 2005 was significantly higher than the urban U.S. low birth weight rate.
  • Modeling the Mental Health Workforce in Washington State: Using State Licensing Data to Examine Provider Supply in Rural and Urban Areas
    WWAMI Rural Health Research Center
    Date: 2006
    Identifies mental health shortage areas using existing licensing and survey data. Found that notable shortages of mental health providers existed throughout the state, especially in rural areas. Urban areas had 3x the psychiatrist FTEs per 100,000 and more than 1.5x the nonpsychiatrist mental health provider FTEs per 100,000 as rural areas.
  • Perinatal and Infant Health Among Rural and Urban American Indians/Alaska Natives
    WWAMI Rural Health Research Center
    Date: 09/2002
    Provides a national profile of rural and urban American Indian/Alaska Native (AI/AN) maternal and infant health.
  • Quality of Care for Acute Myocardial Infarction in Rural and Urban U.S. Hospitals
    WWAMI Rural Health Research Center
    Date: 2004
    Acute myocardial infarction (AMI) is a common and important cause of admission to rural hospitals, as transport of patients with AMI to urban settings can result in unacceptable delays in care. This study examines the quality of care for patients with AMI in rural hospitals with differing degrees of remoteness from urban centers.
  • Quality of Care for Acute Myocardial Infarction: Are the Gaps Between Rural and Urban Hospitals Closing?
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 03/2010

    Many simple, evidence-based guidelines that improve acute myocardial infarction outcomes are inadequately implemented in both rural and urban hospitals. Overall, there has been improvement in acute myocardial infarction quality measures, and persistent rural-urban disparities in only a few. Particularly in small and remote small rural locations, developing strategies to increase use of beneficial discharge medications is important.

  • Quality of Care for Myocardial Infarction in Rural and Urban Hospitals
    WWAMI Rural Health Research Center
    Date: 2010
    In the mid-1990s, significant gaps existed in the quality of acute myocardial infarction (AMI) care between rural and urban hospitals. Since then, overall AMI care quality has improved. This study uses more recent data to determine whether rural-urban AMI quality gaps have persisted.
  • Receipt of Recommended Radiation Therapy Among Rural and Urban Cancer Patients (Summary)
    WWAMI Rural Health Research Center
    Date: 10/2012
    Examines whether rural patients with cancer are less likely than urban patients with cancer to receive recommended radiation therapy and identifies factors influencing rural versus urban differences in radiation therapy receipt.
  • Rural and Urban Physicians: Does the Content of Their Medicare Practices Differ?
    WWAMI Rural Health Research Center
    Date: 1999
    Rural and urban areas have significant differences in the availability of medical technology, medical practice structures and patient populations. This study uses 1994 Medicare claims data to examine whether these differences are associated with variation in the content of practice between physicians practicing in rural and urban areas.
  • Trends in Perinatal and Infant Health Disparities Between Rural American Indians and Alaska Natives and Rural Whites
    WWAMI Rural Health Research Center
    Date: 04/2009
    Examines perinatal care, birth outcomes, and infant health between rural American Indian and Alaska Native (AIAN) persons and rural Whites over time. Despite significant decreases in inadequate prenatal care and postneonatal death among American Indians and Alaska Natives, additional measures are needed to close health gaps for this group.