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Maternity care financing: universal access or universal care?

R Barber-Madden1, J B Kotch

  • 1Columbia University.

Journal of Health Politics, Policy and Law
|January 1, 1990
PubMed
Summary

Access to maternity care is a significant challenge for all childbearing women due to system changes and financial constraints. This study examines coverage gaps and proposes solutions for universal access.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Maternal Health

Background:

  • Fiscal constraints, poverty, and rising healthcare costs are fragmenting maternity care delivery.
  • Increased uninsuredness and medical liability issues exacerbate access problems for childbearing women.
  • National data indicate that access to care remains a critical issue despite system changes.

Purpose of the Study:

  • To identify and describe three distinct groups of women requiring comprehensive maternity care.
  • To analyze insurance coverage and identify access gaps for these specific groups.
  • To present current proposals and an alternative plan for achieving universal maternity care access.

Main Methods:

  • Analysis of national data on maternity care access and insurance coverage.
  • Categorization of childbearing women based on their need for comprehensive care.
  • Review of existing and proposed policy interventions for expanding access.

Main Results:

  • Identified three key groups of women facing maternity care access barriers.
  • Documented significant gaps in insurance coverage across these groups.
  • Evaluated the potential impact of various proposals aimed at reducing uninsuredness.

Conclusions:

  • Universal access to comprehensive maternity care is achievable through targeted policy interventions.
  • Addressing insurance gaps and system fragmentation is crucial for improving maternal health outcomes.
  • Policy recommendations are provided to ensure equitable access to essential maternity services.

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