Diffusion of New Perinatal Technology into Rural Areas of Washington State


One of the major issues confronting rural health care providers is the problem of acquiring complex and expensive new medical machinery, because of the relatively low volume of patients and encounters. This study described the patterns through which new perinatal technologies are adopted, the extent to which they are utilized in communities of varying sizes and levels of medical sophistication, and the impact of these technologies on obstetrical care in rural communities. We used surveys to determine which technologies are available in inpatient and ambulatory practice settings (100% response rate).