Low birthweight rate differences associated with distinct perinatal staffing mixes at federally funded health centers.

ABSTRACT: Health centers (sometimes referred to as "federally qualified health centers") can play an important role in addressing perinatal inequities. However, there is limited information on how different staffing models in health centers contribute to perinatal outcomes, including the availability of certified nurse midwives (CNMs). Using 2011-2021 Uniform Data System files, we examined 4 staffing models in 1385 health centers: those with no CNMs or obstetricians-gynecologists (OBs) ("non-CNM/OB"), CNM-only, OB-only, and both CNMs and OBs ("CNM/OB"). We predicted adjusted low birthweight (LBW) rates across these staffing types using a generalized linear model approach, adjusting for both time and center fixed effects as well as relevant patient, staffing, organizational, and community characteris

SUBMITTER: Kett PM 

PROVIDER: S-EPMC11630281 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature