Obstetric Care Practice Models and Quality in Rural Hospitals

Year(s) Funded:
Topic(s): , , , ,
Project Lead: Katy Kozhimannil

Limited research explores obstetric care practice models in the context of rural hospitals in the U.S., including whether such emerging collaborative models have been adopted or implemented in rural hospitals and if so, how such models may be related to quality of care in these settings. The purpose of this project is to examine current obstetric practice models in rural hospitals and to assess the prospects for implementation of new policy recommendations for reducing primary cesarean rates and non-medically indicated inductions of labor in rural hospitals.This project will use hospital discharge data on all births from the 2010 HCUP Statewide Inpatient Data for nine states and 2010 American Hospital Association Annual Survey, as well as primary data from a survey of rural hospitals providing obstetric services. Statistical analysis will comprise multivariate linear and logistic regression models.

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