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Research ArticleOriginal Research

Landscape of Pregnancy Care in US Community Health Centers

Katherine E. Putnam, Frances M. Biel, Megan Hoopes, Anna R. Templeton, Erika K. Cottrell, Blair G. Darney and Brigit A. Hatch
The Journal of the American Board of Family Medicine August 2023, 36 (4) 574-582; DOI: https://doi.org/10.3122/jabfm.2023.230025R1
Katherine E. Putnam
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
MD, MPH
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Frances M. Biel
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
MPH
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Megan Hoopes
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
MPH
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Anna R. Templeton
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
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Erika K. Cottrell
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
PhD, MPP
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Blair G. Darney
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
PhD, MPH
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Brigit A. Hatch
From the Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (KEP, EKC, BAH); OCHIN, Inc, Research Division, Portland, Oregon (FMB, MH, ART, EKC, BAH); Division of Complex Family Planning, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon (BGD).
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References

  1. 1.↵
    1. Petersen EE,
    2. Davis NL,
    3. Goodman D,
    4. Cox S,
    5. Syverson C,
    6. Seed K
    . Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States, 2007 – 2016. Morb Mortal Wkly Rep 2019;68: Available at: https://www.cdc.gov/mmwr/volumes/68/wr/mm6835a3.htm.
  2. 2.↵
    1. Howell E
    . Reducing Disparities in Severe Maternal Morbidity and Mortality. Clin Obstet Gynecol 2018;61:387–99.
    OpenUrlPubMed
  3. 3.↵
    Centers for Disease Control and Prevention. Severe Maternal Morbidity in the United States. Available at: https://www.cdc.gov/reproductivehealth/MaternalInfantHealth/SevereMaternalMorbidity.html.
  4. 4.↵
    1. Artiga S,
    2. Pham O,
    3. Orgera K,
    4. Ranji U
    . Racial Disparities in Maternal and Infant Health: An Overview.; 2020. Available at: https://www.kff.org/report-section/racial-disparities-in-maternal-and-infant-health-an-overview-issue-brief/.
  5. 5.↵
    Office of Disease Prevention and Health Promotion. Healthy People 2030. Available at: https://health.gov/healthypeople/objectives-and-data/browse-objectives/pregnancy-and-childbirth.
  6. 6.↵
    Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21th Century. Washington (DC): National Academies Press (US); 2001.
  7. 7.↵
    Kaiser. Women’s Health Insurance Coverage. The Henry J. Kaiser Family Foundation; 2016. Available at: http://kff.org/womens-health-policy/fact-sheet/womens-health-insurance-coverage-fact-sheet/.
  8. 8.↵
    Council of Patient Safety in Women’s Health Care. Alliance for Innovation on Maternal Health. Available at: https://safehealthcareforeverywoman.org/.
  9. 9.↵
    1. Osterman MJK,
    2. Martin JA
    . Timing and adequacy of prenatal care in the United States, 2016. Natl Vital Stat Reports 2018;67:1–14.
    OpenUrl
  10. 10.↵
    1. Lu MC,
    2. Prentice J
    . The postpartum visit: risk factors for nonuse and association with breast-feeding. Am J Obstet Gynecol 2002;187:1329–36.
    OpenUrlCrossRefPubMed
  11. 11.↵
    1. Dibari JN,
    2. Yu SM,
    3. Chao SM,
    4. Lu MC
    . Use of postpartum care: Predictors and barriers. J Pregnancy 2014;2014:530769.
    OpenUrlPubMed
  12. 12.↵
    1. Parekh N,
    2. Jarlenski M,
    3. Kelley D
    . Prenatal and postpartum care disparities in a large medicaid program. Matern Child Health J 2018;22:429–37.
    OpenUrl
  13. 13.↵
    1. Danilack VA,
    2. Brousseau EC,
    3. Paulo BA,
    4. Matteson KA,
    5. Clark MA
    . Characteristics of women without a postpartum checkup among PRAMS participants, 2009–2011. Matern Child Health J 2019;23:903–9.
    OpenUrl
  14. 14.↵
    1. Masho SW,
    2. Cha S,
    3. Karjane N,
    4. et al
    . Correlates of postpartum visits among medicaid recipients: an analysis using claims data from a managed care organization. J Womens Health (Larchmt) 2018;27:836–43.
    OpenUrl
  15. 15.↵
    1. Wilcox A,
    2. Levi EE,
    3. Garrett JM
    . Predictors of non-attendance to the postpartum follow-up visit. Matern Child Health J 2016;20:22–7.
    OpenUrl
  16. 16.↵
    1. Bryant AS,
    2. Haas JS,
    3. McElrath TF,
    4. McCormick MC
    . Predictors of compliance with the postpartum visit among women living in healthy start project areas. Matern Child Health J 2006;10:511–6.
    OpenUrlPubMed
  17. 17.↵
    1. Saloner B,
    2. Wilk AS,
    3. Levin J
    . Community health centers and access to care among underserved populations: a synthesis review. Med Care Res Rev 2020;77:3–18.
    OpenUrl
  18. 18.↵
    National Association of Community Health Centers. Community Health Chartbook 2020 About Community Health Centers.; 2020. Available at: https://www.nachc.org/wp-content/uploads/2020/01/Chartbook-2020-Final.pdf.
  19. 19.↵
    1. Hoilette LK,
    2. Blumkin AK,
    3. Baldwin CD,
    4. Fiscella K,
    5. Szilagyi PG
    . Community health centers: medical homes for children? Acad Pediatr 2013;13:436–42.
    OpenUrl
  20. 20.↵
    1. Shi L,
    2. Stevens GD,
    3. Wulu JT,
    4. Politzer RM,
    5. Xu J
    . America’s health centers: Reducing racial and ethnic disparities in perinatal care and birth outcomes. Health Serv Res 2004;39:1881–901.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Wood S,
    2. Goetz-Goldberg D,
    3. Beeson T,
    4. Bruen BK,
    5. et al
    . Health Centers and Family Planning: Results of a Nationwide Study. Vol 60. The George Washington University; 2013. Available at: http://hsrc.himmelfarb.gwu.edu/sphhs_policy_facpubs/60/.
  22. 22.↵
    1. Thorsen ML,
    2. Thorsen A,
    3. McGarvey R
    . Operational efficiency, patient composition and regional context of US health centers: associations with access to early prenatal care and low birth weight. Soc Sci Med 2019;226:143–52.
    OpenUrl
  23. 23.↵
    1. Wood S,
    2. Strasser J,
    3. Sharac J,
    4. et al
    . Community Health Centers and Family Planning in an Era of Policy Uncertainty.; 2018. Available at: https://www.kff.org/report-section/community-health-centers-and-family-planning-in-an-era-of-policy-uncertainty-report/.
  24. 24.↵
    1. Gray KE,
    2. Wallace ER,
    3. Nelson KR,
    4. Reed SD,
    5. Schiff MA
    . Population-based study of risk factors for severe maternal morbidity. Paediatr Perinat Epidemiol 2012;26:506–14.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Eiff MP,
    2. Hollander-Rodriguez J,
    3. Skariah J,
    4. et al
    . Scope of practice among recent family medicine residency graduates. Fam Med 2017;49:607–17.
    OpenUrl
  26. 26.↵
    1. Coutinho AJ,
    2. Cochrane A,
    3. Stelter K,
    4. Phillips RL,
    5. Peterson LE
    . Comparison of intended scope of practice for family medicine residents with reported scope of practice among practicing family physicians. JAMA 2015;314:2364–72.
    OpenUrlCrossRef
  27. 27.↵
    1. Tong STC,
    2. Makaroff LA,
    3. Xierali IM,
    4. et al
    . Proportion of family physicians providing maternity care continues to decline. J Am Board Fam Med 2012;25:270–1.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Weidner AKH,
    2. Chen FM
    . Changes in preparation and practice patterns among new family physicians. Ann Fam Med 2019;17:46–8.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Tong ST,
    2. Makaroff LA,
    3. Xierali IM,
    4. Puffer JC,
    5. Newton WP,
    6. Bazemore AW
    . Family physicians in the maternity care workforce: factors influencing declining trends. Matern Child Health J 2013;17:1576–81.
    OpenUrlCrossRefPubMed
  30. 30.↵
    Bureau of Primary Health Care. UDS: Uniform Data System. Available at: https://data.hrsa.gov/tools/data.
  31. 31.↵
    1. DeVoe JE,
    2. Gold R,
    3. Cottrell E,
    4. et al
    . The ADVANCE network: accelerating data value across a national community health center network. J Am Med Inform Assoc 2014;21:591–5.
    OpenUrlCrossRefPubMed
  32. 32.↵
    1. Forrest CB,
    2. McTigue KM,
    3. Hernandez AF,
    4. et al
    . PCORnet® 2020: current state, accomplishments, and future directions. J Clin Epidemiol 2021;129:60–7.
    OpenUrlCrossRefPubMed
  33. 33.↵
    ADVANCE Collaborative. Network Partners. Published 2021. Accessed May 7, 2021. Available at: http://advancecollaborative.org/?page_id=147.
  34. 34.↵
    Office of Population Affairs H. Measure CCW: Contraceptive Care – All Women Ages 15–44.; 2018. Available at: https://opa.hhs.gov/claims-data-sas-program-instructions.
  35. 35.↵
    1. Hatch B,
    2. Schmidt T,
    3. Davis E,
    4. et al
    . Clinic factors associated with utilization of a pregnancy-intention screening tool in community health centers. Contraception 2021;103:336–41.
    OpenUrl
  36. 36.↵
    1. Hatch BA,
    2. Tillotson CJ,
    3. Huguet N,
    4. Hoopes MJ,
    5. Marino M,
    6. DeVoe JE
    . Use of a preventive index to examine clinic-level factors associated with delivery of preventive care. Am J Prev Med 2019;57:241–9.
    OpenUrl
  37. 37.↵
    Office of Population Affairs. Title X Family Planning Directory.; 2018. Available at: https://opa.hhs.gov/sites/default/files/2020-07/Title-X-Family-Planning-Directory-December2018.pdf.
  38. 38.↵
    WWAMI Rural Health Research Center. Available at: https://familymedicine.uw.edu/rhrc/.
  39. 39.↵
    1. Charlson ME,
    2. Charlson RE,
    3. Peterson JC,
    4. Marinopoulos SS,
    5. Briggs WM,
    6. Hollenberg JP
    . The Charlson comorbidity index is adapted to predict costs of chronic disease in primary care patients. J Clin Epidemiol 2008;61:1234–40.
    OpenUrlCrossRefPubMedWeb of Science
  40. 40.↵
    1. Zhang S,
    2. Cardarelli K,
    3. Shim R,
    4. Ye J,
    5. Booker KL,
    6. Rust G
    . Racial disparities in economic and clinical outcomes of pregnancy among medicaid recipients. Matern Child Health J 2013;17:1518–25.
    OpenUrlCrossRefPubMed
  41. 41.↵
    1. Howell EA,
    2. Egorova N,
    3. Balbierz A,
    4. Zeitlin J,
    5. Hebert PL
    . Black-white differences in severe maternal morbidity and site of care. Am J Obstet Gynecol 2016;214:122.e1-122–e7.
    OpenUrl
  42. 42.↵
    1. Minehart RD,
    2. Bryant AS,
    3. Jackson J,
    4. Daly JL
    . Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am 2021;48:31–51.
    OpenUrlPubMed
  43. 43.↵
    1. Oribhabor GI,
    2. Nelson ML,
    3. Buchanan-Peart K-AR,
    4. Cancarevic I
    . A Mother’s Cry: a race to eliminate the influence of racial disparities on maternal morbidity and mortality rates among black women in america. Cureus 2020;12:e9207.
  44. 44.↵
    1. Koh HK,
    2. Graham G,
    3. Glied SA
    . Reducing racial and ethnic disparities: the action plan from the department of health and human services. Health Aff (Millwood) 2011;30:1822–9.
    OpenUrlAbstract/FREE Full Text
  45. 45.↵
    1. Lebrun LA,
    2. Shi L,
    3. Zhu J,
    4. et al
    . Racial/ethnic differences in clinical quality performance among health centers. J Ambul Care Manage 2013;36:24–34.
    OpenUrl
  46. 46.↵
    1. Howard LM,
    2. Molyneaux E,
    3. Dennis CL,
    4. Rochat T,
    5. Stein A,
    6. Milgrom J
    . Non-psychotic mental disorders in the perinatal period. Lancet 2014;384:1775–88.
    OpenUrlCrossRefPubMedWeb of Science
  47. 47.↵
    1. Hatch B,
    2. Smith N,
    3. McBurnie MA,
    4. et al
    . Impacts of the Affordable Care Act on community health centers characteristics of new patients and early changes in delivery of care. J Ambul Care Manage 2018;41:250–61.
    OpenUrl
  48. 48.↵
    1. Sidebottom AC,
    2. Hellerstedt WL,
    3. Harrison PA,
    4. Hennrikus D
    . An examination of prenatal and postpartum depressive symptoms among women served by urban community health centers. Arch Womens Ment Health 2014;17:27–40.
    OpenUrl
  49. 49.↵
    1. Shi L,
    2. Lee DC,
    3. Chung M,
    4. Liang H,
    5. Lock D,
    6. Sripipatana A
    . Patient-centered medical home recognition and clinical performance in U.S. community health centers. Health Serv Res 2017;52:984–1004.
    OpenUrlCrossRef
  50. 50.↵
    Guidelines for Perinatal Care. 8th. American Academy of Pediatrics, American College of Obstetricians and Gynecologists.; 2017.
  51. 51.↵
    1. Peahl AF,
    2. Zahn CM,
    3. Turrentine M,
    4. et al
    . The Michigan plan for appropriate tailored healthcare in pregnancy prenatal care recommendations. Obstet Gynecol 2021;138:593–602.
    OpenUrlCrossRefPubMed
  52. 52.↵
    1. Quan H,
    2. Li B,
    3. Duncan Saunders L
    , IMECCHI Investigatorset al. Assessing validity of ICD-9-CM and ICD-10 administrative data in recording clinical conditions in a unique dually coded database. Health Serv Res 2008;43:1424–41.
    OpenUrlCrossRefPubMedWeb of Science
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The Journal of the American Board of Family     Medicine: 36 (4)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 4
July-August 2023
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Landscape of Pregnancy Care in US Community Health Centers
Katherine E. Putnam, Frances M. Biel, Megan Hoopes, Anna R. Templeton, Erika K. Cottrell, Blair G. Darney, Brigit A. Hatch
The Journal of the American Board of Family Medicine Aug 2023, 36 (4) 574-582; DOI: 10.3122/jabfm.2023.230025R1

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Landscape of Pregnancy Care in US Community Health Centers
Katherine E. Putnam, Frances M. Biel, Megan Hoopes, Anna R. Templeton, Erika K. Cottrell, Blair G. Darney, Brigit A. Hatch
The Journal of the American Board of Family Medicine Aug 2023, 36 (4) 574-582; DOI: 10.3122/jabfm.2023.230025R1
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