Access to risk-appropriate hospital care and disparities in neonatal outcomes in racial/ethnic groups and rural-urban populations.

Authors: 
S.A. Lorch; J. Rogowski; J. Profit; C.S. Phibbs
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.

Citation: 

Lorch SA, Rogowski J, Profit J, Phibbs CS. "Access to risk-appropriate hospital care and disparities in neonatal outcomes in racial/ethnic groups and rural-urban populations." Semin Perinatol. 2021;45(4):151409.PubMed

Publication type: 
Journal Article
Year: 
2021
CPQCC publication: 
Yes
PubMed ID: 
33931237
PMCID: 
PMC8184635