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Overcoming Barriers to Accessing Obstetric Care in Underserved Communities

Burlone, Suzanne MD, MSPH; Moore, Lisa MD; Johnson, Wendy MD, MPH

doi: 10.1097/AOG.0000000000003364
Contents: Obstetrics: Current Commentary

Changes in the current workforce of obstetrician–gynecologists and other health care providers of obstetric care, as well as changes in the delivery of health care services, prompt health care leaders to consider alternative strategies for approaching the essential shortage of obstetric care providers and facilities. Geographic variations in health care needs and resources require a tailored approach by individual communities and local health care providers. New and emerging technologies can support a range of innovative solutions to health care access limitations. This article describes an alternative model for remote obstetric care and quality review in Santa Fe, New Mexico, that is applicable to any community facing limited access to full-spectrum obstetric care.

Innovative approaches to patient management can increase access to obstetric care in underserved areas.

La Familia Medical Center, Santa Fe, and the Department of Family and Community Medicine, University of New Mexico Albuquerque, New Mexico, and the Department of Global Health, University of Washington, Seattle, Washington.

Corresponding author: Suzanne Burlone, MD, MSPH, La Familia Medical Center, Santa Fe, NM; email:

Financial Disclosure Dr. Burlone is employed by La Familia Medical Center as the contracted obstetrician–gynecologist discussed within the article. The other authors did not report any potential conflicts of interest.

Each author has confirmed compliance with the journal's requirements for authorship.

Peer reviews and author correspondence are available at

© 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.