Article: Change in Oregon maternity care workforce after malpractice premium subsidy implementation.(Policies that Impact Workforce)(Report)

BACKGROUND

Many studies have shown that timely and appropriate access to prenatal and delivery services improves maternal and neonatal outcomes (Helton 1997). An important component in access to such maternity care services is the availability of providers willing to perform deliveries. Studies have found that when the number of maternity care providers falls in a community, the rate of delayed and inadequate prenatal care and delivery complications and costs rise (Piper, Mitchel, and Ray 1996; Nesbitt et al. 1997; Dubay, Kaester, and Waidmann 2001). Rural areas that lack local obstetrical services are associated with less adequate prenatal care, higher rates of ...

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