Abstract
In some parts of Dade County, Florida, perinatal mortality rate have revealed serious problems in the delivery of health care to poor pregnant women. From 1982-1985, the reported perinatal mortality rates varied from 32-36 per 1000 live births, more than double the national average. Under the leadership of the Primary Health Care Consortium of Dade County (a federation of community health centers and other primary care providers), National Health Service Corps obstetricians and pediatricians served inner-city, medically needy patients as part of a coordinated perinatal plan from 1987-1989. Data on fetal and neonatal deaths, collected from census tracts adjacent to the community health centers, were used to study the impact of Corps obstetrician and pediatrician placement. The respective perinatal mortality rates were compared with those of 1986 as historic controls. Within a year, the overall perinatal mortality rate was reduced by 45%. As a result, an estimated 320 lives were saved between 1987-1989. This public health achievement represents a measurable impact due to assignment of National Health Service Corps physicians and can be used as a working model to reduce perinatal mortality in medically underserved communities in the United States.
| Original language | English |
|---|---|
| Pages (from-to) | 385-390 |
| Number of pages | 6 |
| Journal | Obstetrics and Gynecology |
| Volume | 78 |
| Issue number | 3 I |
| State | Published - Jan 1 1991 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
The impact of National Health Service Corps Physicians in the lowering perinatal mortality rate in Dade County, Florida. / Nguyen, H. N.; O'Sullivan, M. J.; Fournier, A. M.
In: Obstetrics and Gynecology, Vol. 78, No. 3 I, 01.01.1991, p. 385-390.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The impact of National Health Service Corps Physicians in the lowering perinatal mortality rate in Dade County, Florida
AU - Nguyen, H. N.
AU - O'Sullivan, M. J.
AU - Fournier, A. M.
PY - 1991/1/1
Y1 - 1991/1/1
N2 - In some parts of Dade County, Florida, perinatal mortality rate have revealed serious problems in the delivery of health care to poor pregnant women. From 1982-1985, the reported perinatal mortality rates varied from 32-36 per 1000 live births, more than double the national average. Under the leadership of the Primary Health Care Consortium of Dade County (a federation of community health centers and other primary care providers), National Health Service Corps obstetricians and pediatricians served inner-city, medically needy patients as part of a coordinated perinatal plan from 1987-1989. Data on fetal and neonatal deaths, collected from census tracts adjacent to the community health centers, were used to study the impact of Corps obstetrician and pediatrician placement. The respective perinatal mortality rates were compared with those of 1986 as historic controls. Within a year, the overall perinatal mortality rate was reduced by 45%. As a result, an estimated 320 lives were saved between 1987-1989. This public health achievement represents a measurable impact due to assignment of National Health Service Corps physicians and can be used as a working model to reduce perinatal mortality in medically underserved communities in the United States.
AB - In some parts of Dade County, Florida, perinatal mortality rate have revealed serious problems in the delivery of health care to poor pregnant women. From 1982-1985, the reported perinatal mortality rates varied from 32-36 per 1000 live births, more than double the national average. Under the leadership of the Primary Health Care Consortium of Dade County (a federation of community health centers and other primary care providers), National Health Service Corps obstetricians and pediatricians served inner-city, medically needy patients as part of a coordinated perinatal plan from 1987-1989. Data on fetal and neonatal deaths, collected from census tracts adjacent to the community health centers, were used to study the impact of Corps obstetrician and pediatrician placement. The respective perinatal mortality rates were compared with those of 1986 as historic controls. Within a year, the overall perinatal mortality rate was reduced by 45%. As a result, an estimated 320 lives were saved between 1987-1989. This public health achievement represents a measurable impact due to assignment of National Health Service Corps physicians and can be used as a working model to reduce perinatal mortality in medically underserved communities in the United States.
UR - http://www.scopus.com/inward/record.url?scp=0025737786&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025737786&partnerID=8YFLogxK
M3 - Article
VL - 78
SP - 385
EP - 390
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
SN - 0029-7844
IS - 3 I
ER -