{"id":"https://openalex.org/W1998528604","doi":"https://doi.org/10.1111/j.1748-0361.1992.tb00369.x","title":"A Three\u2010Tier Model for the Delivery of Rural Obstetrical Care Using a Nurse Midwife and Family Physician Copractice","display_name":"A Three\u2010Tier Model for the Delivery of Rural Obstetrical Care Using a Nurse Midwife and Family Physician Copractice","publication_year":1992,"publication_date":"1992-09-01","ids":{"openalex":"https://openalex.org/W1998528604","doi":"https://doi.org/10.1111/j.1748-0361.1992.tb00369.x","mag":"1998528604","pmid":"https://pubmed.ncbi.nlm.nih.gov/10122983"},"language":"en","primary_location":{"id":"doi:10.1111/j.1748-0361.1992.tb00369.x","doi":"https://doi.org/10.1111/j.1748-0361.1992.tb00369.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1748-0361.1992.tb00369.x","pdf_url":null,"source":{"id":"https://openalex.org/S69340840","display_name":"The Journal of Rural Health","issn_l":"0890-765X","issn":["0890-765X","1748-0361"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Rural Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5033803600","display_name":"William J. Hueston","orcid":"https://orcid.org/0000-0001-8545-317X","observed_orcids":["https://orcid.org/0000-0001-8545-317X"]},"institutions":[{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]},{"id":"https://openalex.org/I2801349183","display_name":"Spartanburg Regional Medical Center","ror":"https://ror.org/0322mf940","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801349183","https://openalex.org/I4210133986"]},{"id":"https://openalex.org/I4210098861","display_name":"Tsehootsooi Medical Center","ror":"https://ror.org/013kktc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098861"]},{"id":"https://openalex.org/I4210101715","display_name":"Hattiesburg Clinic","ror":"https://ror.org/0188pyf14","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210101715"]},{"id":"https://openalex.org/I4210156072","display_name":"Froedtert Menomonee Falls Hospital","ror":"https://ror.org/04m88de33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210156072"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William J. Hueston","raw_affiliation_strings":["Menifee Medical Center, Frenchburg, KY 40322","University of Kentucky, Lexington, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Menifee Medical Center, Frenchburg, KY 40322","institution_ids":["https://openalex.org/I2801349183","https://openalex.org/I4210098861","https://openalex.org/I4210101715","https://openalex.org/I4210156072"]},{"raw_affiliation_string":"University of Kentucky, Lexington, United States","institution_ids":["https://openalex.org/I143302722"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052304030","display_name":"Mary Murry","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary Murry","raw_affiliation_strings":["Murry is the clinical director of the St. Claire Maternity Center in Morehead, KY. She is on the clinical faculty of the School of Nursing at the University of Kentucky and at the Frontier Nursing School of the University of New Mexico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Murry is the clinical director of the St. Claire Maternity Center in Morehead, KY. She is on the clinical faculty of the School of Nursing at the University of Kentucky and at the Frontier Nursing School of the University of New Mexico","institution_ids":["https://openalex.org/I143302722"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4480,"currency":"USD","value_usd":4480},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":10,"citation_normalized_percentile":{"value":0.13579082,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"8","issue":"4","first_page":"283","last_page":"290"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.4140999913215637,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.4140999913215637,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.23549999296665192,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.16760000586509705,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rural-obstetric-care","display_name":"rural obstetric care","score":0.8949999809265137},{"id":"https://openalex.org/keywords/nurse-midwives","display_name":"nurse-midwives","score":0.8999999761581421},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9589999914169312},{"id":"https://openalex.org/keywords/indigents","display_name":"indigent population","score":0.734000027179718},{"id":"https://openalex.org/keywords/underserved-populations","display_name":"underserved populations","score":0.8640000224113464},{"id":"https://openalex.org/keywords/antenatal-care-utilization","display_name":"antenatal care utilization","score":0.8379999995231628},{"id":"https://openalex.org/keywords/rural-health-care","display_name":"rural health care","score":0.47200000286102295},{"id":"https://openalex.org/keywords/referral-hospitals","display_name":"referral hospitals","score":0.39500001072883606},{"id":"https://openalex.org/keywords/northeastern-kentucky","display_name":"northeastern Kentucky","score":0.5640000104904175}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6999006271362305},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6086699366569519},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5622112154960632},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5521765947341919},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5095430016517639},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.41143137216567993},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0768885612487793}],"mesh":[{"descriptor_ui":"D000078329","descriptor_name":"Workforce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000078329","descriptor_name":"Workforce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000078329","descriptor_name":"Workforce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006744","descriptor_name":"Hospital Bed Capacity, 100 to 299","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006744","descriptor_name":"Hospital Bed Capacity, 100 to 299","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006744","descriptor_name":"Hospital Bed Capacity, 100 to 299","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007629","descriptor_name":"Kentucky","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007629","descriptor_name":"Kentucky","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007629","descriptor_name":"Kentucky","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D008489","descriptor_name":"Medical Indigency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008489","descriptor_name":"Medical Indigency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008489","descriptor_name":"Medical Indigency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009721","descriptor_name":"Nurse Midwives","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D009721","descriptor_name":"Nurse Midwives","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D009721","descriptor_name":"Nurse Midwives","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010821","descriptor_name":"Physicians, Family","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010821","descriptor_name":"Physicians, Family","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010821","descriptor_name":"Physicians, Family","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012041","descriptor_name":"Regional Medical Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D012041","descriptor_name":"Regional Medical Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D012041","descriptor_name":"Regional Medical Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1748-0361.1992.tb00369.x","doi":"https://doi.org/10.1111/j.1748-0361.1992.tb00369.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1748-0361.1992.tb00369.x","pdf_url":null,"source":{"id":"https://openalex.org/S69340840","display_name":"The Journal of Rural Health","issn_l":"0890-765X","issn":["0890-765X","1748-0361"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Rural Health","raw_type":"journal-article"},{"id":"pmid:10122983","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10122983","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.49000000953674316}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":31,"referenced_works":["https://openalex.org/W155599627","https://openalex.org/W193559938","https://openalex.org/W202772416","https://openalex.org/W1507469485","https://openalex.org/W2018130088","https://openalex.org/W2027294366","https://openalex.org/W2030484661","https://openalex.org/W2032809867","https://openalex.org/W2063437952","https://openalex.org/W2082602848","https://openalex.org/W2084776473","https://openalex.org/W2144894020","https://openalex.org/W2147185944","https://openalex.org/W2153324626","https://openalex.org/W2185321439","https://openalex.org/W2396426770","https://openalex.org/W2397589339","https://openalex.org/W2405354132","https://openalex.org/W2405522049","https://openalex.org/W2409194855","https://openalex.org/W2413065779","https://openalex.org/W2417799836","https://openalex.org/W2424731449","https://openalex.org/W2431250616","https://openalex.org/W2439114928","https://openalex.org/W2468978363","https://openalex.org/W4237579444","https://openalex.org/W4241329193","https://openalex.org/W4290349605","https://openalex.org/W4290355529","https://openalex.org/W6718526721"],"related_works":["https://openalex.org/W2590224211","https://openalex.org/W1966261153","https://openalex.org/W2419671669","https://openalex.org/W2749944573","https://openalex.org/W135094908","https://openalex.org/W1996905147","https://openalex.org/W1981626029","https://openalex.org/W2438940351","https://openalex.org/W2397088966","https://openalex.org/W2414451009"],"abstract_inverted_index":{"To":[0],"meet":[1],"the":[2,30,41,46,54,69,74,78,94,98,105,132,138,143,165],"needs":[3,168],"of":[4,43,65,80,86,137,145,163,169],"a":[5,10,19,111,124,156],"large":[6,75],"indigent":[7],"rural":[8,11,173],"population,":[9],"regional":[12],"referral":[13],"hospital":[14,47,99,133],"in":[15,77,114,131],"northeastern":[16],"Kentucky":[17],"developed":[18],"maternity":[20,55,95],"program":[21],"that":[22,141],"utilizes":[23],"nurse":[24,146],"midwives":[25,147],"and":[26,53,97,123,148],"family":[27,149],"physicians":[28,150],"as":[29],"primary":[31],"medical":[32,70],"providers":[33],"with":[34,118,151],"support":[35],"from":[36,88],"obstetricians.":[37],"After":[38],"five":[39],"years,":[40],"number":[42,79,85],"deliveries":[44,67,81,115],"at":[45,68],"has":[48,109],"increased":[49],"almost":[50],"30":[51],"percent,":[52],"center":[56,96],"is":[57,82,159],"now":[58,92],"responsible":[59],"for":[60,73,100],"more":[61],"than":[62],"70":[63],"percent":[64],"all":[66],"center.":[71],"Accounting":[72],"increase":[76],"an":[83,160,170],"increasing":[84],"women":[87,117],"surrounding":[89],"areas":[90],"who":[91],"utilize":[93],"their":[101],"obstetric":[102],"care.":[103],"During":[104],"same":[106],"time,":[107],"there":[108],"been":[110],"corresponding":[112],"decrease":[113],"to":[116],"no":[119],"prior":[120],"prenatal":[121,129],"care":[122,130,167],"shift":[125],"toward":[126],"obtaining":[127],"earlier":[128],"service":[134],"population.":[135,174],"Results":[136],"study":[139],"suggest":[140],"combining":[142],"skills":[144],"surgical":[152],"backup":[153],"provided":[154],"by":[155],"consulting":[157],"obstetrician":[158],"effective":[161],"means":[162],"meeting":[164],"health":[166],"indigent,":[171],"underserved":[172]},"counts_by_year":[{"year":2020,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-09-23T05:00:35.095934","created_date":"2025-10-10T00:00:00"}