Rock S M, Straub L A
J Rural Health. 1994 Spring;10(2):122-30. doi: 10.1111/j.1748-0361.1994.tb00219.x.
In recent years, the supply of obstetric services in rural areas has been a concern. At the same time, the demand for such services has been affected by the reduction in population and economic base. This article explores the extent of these trends in Illinois and whether they have led to a deterioration in amount of prenatal care and birth outcomes. Using birth certificate and infant death data for residents of rural Illinois counties in 1983 and 1988, prenatal care and birth outcomes for each year are compared within rural areas and to the rest of the state, as well as between the two time periods. Although rural residents began prenatal care later, they obtained similar qualities of care as their urban counterparts. The data revealed no adverse impact on birth outcomes of residing in increasingly rural areas, nor was there a deterioration during the time period. An attempt was made to identify rural counties that lost providers and/or facilities and those that gained them. Although such a classification scheme is subjective, similar results ensued. While indirect costs such as time and effort to obtain care may have increased, at 1988 levels of care availability there was no crisis in Illinois.
近年来，农村地区产科服务的供应情况备受关注。与此同时，此类服务的需求受到人口和经济基础下降的影响。本文探讨了伊利诺伊州这些趋势的程度，以及它们是否导致了产前护理数量和分娩结果的恶化。利用1983年和1988年伊利诺伊州农村县居民的出生证明和婴儿死亡数据，对农村地区每年的产前护理和分娩结果与该州其他地区进行比较，并在两个时间段之间进行比较。尽管农村居民开始产前护理的时间较晚，但他们获得的护理质量与城市居民相似。数据显示，居住在农村地区日益增加对分娩结果没有不利影响，在该时间段内也没有恶化。试图确定失去提供者和/或设施的农村县以及获得这些的县。尽管这样的分类方案是主观的，但结果相似。虽然诸如获得护理所需的时间和精力等间接成本可能有所增加，但以1988年的护理可及水平来看，伊利诺伊州并未出现危机。
