Adam Klasik, Małgorzata Janas-Kozik, Irena Krupka-Matuszczyk, Ewa Augustyniak
[Cognitive functions, their development and modern diagnostic methods]
Przeglad lekarski
lack access riskappropriate maternity services particularly rural residents thought leading contributor disparities maternal morbidity mortality several existing measures access obstetric care literature popular media study explored current measures obstetric access inform number location additional obstetric care facilities required improve access formulated two facility location optimization models determine number new facilities required minimize number reproductiveaged women lack access obstetric care define regions lack access either maternity care deserts designated march dimes counties obstetric care facility obstetric providers regions 50 miles critical care obstetric cco services gathered information hospitals obstetric services georgia department public health public reports estimated female reproductiveage population census block group using american community survey 1910308 reproductiveaged women live georgia 104158 55 live maternity care deserts 150563 79 reproductiveaged women live 50 miles cco services 38202 20 live maternity care desert 50 miles cco services optimization analysis suggests least 56 new obstetric care facilities 67 increase would required eliminate maternity care deserts georgia however expansion 8 facilities would ensure women georgia live within 50 miles cco services current measures access obstetric care may sufficient evaluating access planning action toward improvements state like georgia large number small counties eliminating maternity care deserts would require prohibitively large number new obstetric care facilities work suggests additional measures tools needed estimate number type obstetric care facilities best match practical resources meet obstetric care needs