The diffusion of obstetric technology into rural U.S. hospitals

R. A. Rosenblatt, G. R. Saunders, C. J. Tressler, E. H. Larson, T. S. Nesbitt, L. G. Hart

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


We determined the distribution and sophistication of obstetric technologies in all 80 maternity hospitals in the state of Washington and examined the effect of rural or urban location, birth volume, and physician staffing on technological intensity. Although smaller and more rural hospitals refer most premature and low-birth weight infants to regional referral centers, sophisticated prenatal and intrapartum technologies are available in the majority of even the smallest and most remote rural units. Rural hospitals have slightly lower obstetrical intervention rates than do their urban counterparts, but the differences are not great.

Original languageEnglish (US)
Pages (from-to)479-489
Number of pages11
JournalInternational Journal of Technology Assessment in Health Care
Issue number3
StatePublished - 1994
Externally publishedYes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Informatics
  • Nursing(all)
  • Health Information Management


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