Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul 14;324(2):197-199.
doi: 10.1001/jama.2020.5662.

Changes in Hospital-Based Obstetric Services in Rural US Counties, 2014-2018

Katy B Kozhimannil  1 , Julia D Interrante  1 , Mariana K S Tuttle  1 , Carrie Henning-Smith  1
Affiliations

Changes in Hospital-Based Obstetric Services in Rural US Counties, 2014-2018

Katy B Kozhimannil et al. JAMA. .

Abstract

This study describes hospital-based obstetric service losses in rural US counties between 2014 and 2018 overall and by county population and urban adjacency.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure.
Figure.. Number of Rural US Counties With Hospital Obstetric Care, 2014-2018
See this image and copyright information in PMC

References

    1. Hung P, Henning-Smith CE, Casey MM, Kozhimannil KB. Access to obstetric services in rural counties still declining, with 9 percent losing services, 2004-14. Health Aff (Millwood). 2017;36(9):1663-1671. doi:10.1377/hlthaff.2017.0338 - DOI - PubMed
    1. Kozhimannil KB, Hung P, Henning-Smith C, Casey MM, Prasad S. Association between loss of hospital-based obstetric services and birth outcomes in rural counties in the United States. JAMA. 2018;319(12):1239-1247. doi:10.1001/jama.2018.1830 - DOI - PMC - PubMed
    1. Kozhimannil KB, Interrante JD, Henning-Smith C, Admon LK. Rural-urban differences in severe maternal morbidity and mortality in the US, 2007-15. Health Aff (Millwood). 2019;38(12):2077-2085. doi:10.1377/hlthaff.2019.00805 - DOI - PubMed
    1. Ely DM, Driscoll AK, Matthews TJ. Infant mortality rates in rural and urban areas in the United States, 2014. NCHS Data Brief. 2017;(285):1-8. - PubMed
    1. Hung P, Kozhimannil KB, Casey MM, Moscovice IS. Why are obstetric units in rural hospitals closing their doors? Health Serv Res. 2016;51(4):1546-1560. doi:10.1111/1475-6773.12441 - DOI - PMC - PubMed

MeSH terms