GEOGRAPHIC DISTRIBUTION OF CERTIFIED NURSE-MIDWIVES

Authors


  • The work upon which this paper is based was supported by the Bureau of Health Manpower, Department of Health, Education, and Welfare pursuant to Contract No. HRA 232-79-0025. The advice and comments of Mr. Richard Lee, Ms. Betty DeGroot, and Ms. Ann Lawler, of the Division of Manpower Analysis, are acknowledged with appreciation. However, the views expressed in this paper are the authors' and do not necessarily reflect the views of either the Bureau of Health Manpower or of Applied Management Sciences, Inc

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ABSTRACT

This paper reports the findings of a recent study which was conducted to determine whether there is appropriate distribution of nurse-midwives in the United States. A methodology for analysis of requirements for nurse-midwives was developed in order to assess whether the current distribution is appropriate given requirements indicators in each county. As a final stage of the analysis, three groups of counties are singled out for special attention: (1) those with no nurse-midwives; (2) those with low levels of relative supply of nurse-midwives; and (3) those with high levels of relative supply of nurse-midwives. These groups are compared, in order to determine whether there are differences in demographic characteristics, health status indicators, and other health manpower which might be associated with differences in nurse-midwife supply in each group of counties. Conclusions and discussion of potential policy implications are drawn from the descriptive and analytic findings.

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