Skip Navigation

Strengthen the Evidence for Maternal and Child Health Programs

Sign up for MCHalert eNewsletter

Search Results: MCHLine

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 1 through 6 (6 total).

Virginia Governor's Work Group on Rural Obstetrical Care. 2004. Executive Directive 2: Report of the Governor's Work Group on Rural Obstetrical Care. [Richmond, VA]: Virginia Department of Health and Human Resources, 108 pp.

Annotation: This report includes information on the availability of obstetrical services in Virginia and identifies areas in which there is inadequate access. The report also includes information on factors contributing to inadequate access to services, the availability and affordability of malpractice insurance for obstetricians, and specific problems regarding access to obstetrical care for Medicaid and Family Access to Medical Insurance Security enrollees, as well as an assessment of the degree to which these factors may be contributing to the lack of access to obstetrical care in certain areas. The report includes 27 recommendations in six policy areas: Medicaid eligibility; Medicaid reimbursement; medical malpractice insurance; practice and licensure; birth injury; and improving access to care. Twelve appendices include a description of the executive directive, lists of work group members and subcommittees, trends in Medicaid physician payment rates, certification requirements for midwives, summaries of key informant interviews, and more.

Keywords: Access to health care, Birth injuries, Eligibility, Low income groups, Malpractice insurance, Medicaid, Obstetrical care, Obstetricians, Reimbursement, Underserved communities, Virginia, Women's health

Van Tuinen I, Wolfe SM. 1992. Unnecessary cesarean sections: Halting a national epidemic. Washington, DC: Public Citizen's Health Research Group, 184 pp.

Annotation: This report analyzes the cesarean section rate in the United States for the period 1989-1990. It includes discussions of cesarean safety for both the mother and child, the clinical reasons given for performing cesareans, the nonmedical factors linked to cesarean operations, and the development of clinical guidelines for both cesarean sections and vaginal births after cesarean sections. Charts list cesarean rates for 48 states plus the District of Columbia as well as the number of cesarean operations performed at 2,657 U.S. hospitals during that time period. Sets of questions for consumers to use with obstetricians and hospital administrators are included along with a model for maternity information legislation.

Keywords: Cesarean section, Childbirth, Cost containment, Dystocia, Fetal distress, Guidelines, Legislation, Malpractice insurance, Maternal health, Mortality, Newborn infants, Repeat cesarean birth, Vaginal birth after cesarean

General Accounting Office. 1992. Health care reform. Washington, DC: General Accounting Office, 34 pp. (U.S. General Accounting Office transition series)

Annotation: This report discusses major policy, management, and program issues facing the Congress and the administration in the area of health care reform. The issues include access to health insurance for the uninsured, private health insurance market reforms, health care cost containment, administrative simplification, fraud and abuse controls, diffusion and pricing of new medical technologies, and medical malpractice reform.

Keywords: Access to health care, Health care costs, Health care reform, Health insurance, Medical malpractice, Uninsured persons

Institute of Medicine, Committee to Study Medical Professional Liability and the Delivery of Obstetrical Care. 1989. Medical professional liability and the delivery of obstetrical care, Vol. I. Washington, DC: National Academy Press, 241 pp.

Annotation: This study examined the effects of medical professional liability on the delivery of and access to obstetrical care. This volume reports on the effects on the availability of obstetrical providers, impacts on the provision of obstetrical care to poor women and women served by Medicaid, effects on the practice of obstetrics, obstetrical malpractice insurance, and the legal system. A companion volume includes background papers commissioned for the study.

Keywords: Access to health care, Liability insurance, Medical malpractice, Obstetrics

Rostow VP, Bulger RJ, eds. 1989. Medical professional liability and the delivery of obstetrical care, Vol. II: An interdisciplinary review. Washington, DC: National Academy Press, 238 pp.

Annotation: This book addresses the effects of medical professional liability issues on access to and delivery of obstetrical care. It discusses the medical background of these issues, effects on access to and delivery of obstetrical care to low-income women, liability insurance and the nurse-midwifery practice, and the legal issues. This study was undertaken by the Institute of Medicine following an inquiry by the American Academy of Pediatrics in 1984.

Keywords: Access to health care, Cesarean section, Genetic screening, Legal issues, Malpractice insurance, Medical liability, Midwives, Obstetrical care

National Commission to Prevent Infant Mortality. 1988. Malpractice and liability: An obstetrical crisis. Washington, DC: National Commission to Prevent Infant Mortality, 21 pp.

Annotation: This report examines policy regarding obstetrical malpractice, in particular the cost of insurance for health care providers and the effect these costs have on availability of care for pregnant women. It discusses the crisis of the mid-1970s and considers several states' legislative responses to it. Then it looks at the current state of the profession and its patients, and suggests responses that the states, the federal government, and the professions could take to alleviate the problem.

Keywords: Malpractice insurance, Medical malpractice, Obstetricians, Obstetrics, Policy analysis, Policy development, Public policy, State legislation
   

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, univerity, state, and federal funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.