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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Updated: Jan 13, 2026

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Maternal Outreach Through Telehealth for Rural Sites: The MOTHeRS Project.

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Rural maternal health faced challenges during the coronavirus pandemic. A new patient-centered model using telehealth improved care access and reduced health disparities in four North Carolina counties.

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Area of Science:

  • Maternal Health
  • Public Health
  • Health Services Research

Background:

  • The coronavirus pandemic significantly impacted healthcare delivery, particularly for rural maternal health services.
  • Existing healthcare models struggled to meet the needs of pregnant individuals in remote areas during the pandemic.

Purpose of the Study:

  • To develop and implement a patient-centered collaborative healthcare model for rural maternal health.
  • To leverage telehealth and health technologies to overcome pandemic-related challenges in maternal care access.

Main Methods:

  • A collaborative healthcare model was designed by professionals at East Carolina University (ECU).
  • The model integrated telehealth and health technologies for patient care.
  • Implementation occurred across four rural North Carolina counties: Carteret, Duplin, Chowan, and Dare.

Main Results:

  • Preliminary findings indicate enhanced access to maternal healthcare services.
  • The implemented model demonstrated a reduction in health disparities among rural populations.
  • Positive patient outcomes were observed through the use of integrated health technologies.

Conclusions:

  • A patient-centered, technology-enhanced collaborative model is effective for improving rural maternal health.
  • Telehealth and health technologies can successfully mitigate challenges in remote maternal care access.
  • This model shows promise in reducing health inequities in underserved rural communities.