Title | Access to risk-appropriate hospital care and disparities in neonatal outcomes in racial/ethnic groups and rural-urban populations. |
Publication Type | Journal Article |
Year of Publication | 2021 |
Authors | Lorch SA, Rogowski J, Profit J, Phibbs CS |
Journal | Semin Perinatol |
Volume | 45 |
Issue | 4 |
Pagination | 151409 |
Date Published | 2021 06 |
ISSN | 1558-075X |
Keywords | Ethnicity, Female, Hospitals, Humans, Infant, Infant Mortality, Infant, Newborn, Pregnancy, Rural Population, United States, Urban Population |
Abstract | Variations in infant and neonatal mortality continue to persist in the United States and in other countries based on both socio-demographic characteristics, such as race and ethnicity, and geographic location. One potential driver of these differences is variations in access to risk-appropriate delivery care. The purpose of this article is to present the importance of delivery hospitals on neonatal outcomes, discuss variation in access to these hospitals for high-risk infants and their mothers, and to provide insight into drivers for differences in access to high-quality perinatal care using the available literature. This review also illustrates the lack of information on a number of topics that are crucial to the development of evidence-based interventions to improve access to appropriate delivery hospital services and thus optimize the outcomes of high-risk mothers and their newborns. |
DOI | 10.1016/j.semperi.2021.151409 |
Alternate Journal | Semin Perinatol |
PubMed ID | 33931237 |
PubMed Central ID | PMC8184635 |
Grant List | R01 HD084819 / HD / NICHD NIH HHS / United States R01 HS018661 / HS / AHRQ HHS / United States |