Abstract

Family physicians providing rural obstetric care makes good business sense

Highlights

  • The availability of obstetrical care has decreased in countries worldwide including the United States [1]

  • Rayburn’s 2012 Obstetrics & Gynecology article states that almost half of the counties in the United States have no access to obstetrics providers, affecting some 10,000,000 reproductive-aged women aged 15 to 45 in 1,500 counties [2,3]

  • Most of these women live in rural, underserved areas which already face a great need for healthcare including obstetrics [3]

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Summary

Introduction

The availability of obstetrical care has decreased in countries worldwide including the United States [1]. The greatest need for obstetrical care is in rural, underserved areas of this country where the shortage is the most dramatic [2]. Rayburn’s 2012 Obstetrics & Gynecology article states that almost half of the counties in the United States have no access to obstetrics providers, affecting some 10,000,000 reproductive-aged women aged 15 to 45 in 1,500 counties [2,3]. Most of these women live in rural, underserved areas which already face a great need for healthcare including obstetrics [3]. Lack of obstetric care in rural areas translates into poor perinatal outcomes, poor access to care, more complications and more expensive care [5]

Family physicians practice in rural areas
Family physicians are trained in obstetrical care
Family physicians are almost never sued
Cost of malpractice insurance is less for family medicine
Family medicine is a second pathway for practicing obstetrics
Family medicine residencies and residency positions are increasing
Family medicine obstetrics fellowships are increasing
Obstetrics makes family medicine more attractive financially
Findings
Discussion
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