Impact of post-Dobbs abortion bans on workforce attrition and labor and delivery unit closures
Abortion
Awarded 2024
Health and economic outcomes, post-Dobbs
Sarah Horvath, MD, MSHP
Pennsylvania State University
$75,000

The proposed study, “Impact of post-Dobbs state abortion bans on workforce attrition and Labor and Delivery unit closures,” leverages existing hospital, workforce, and census data to examine state-level trends in the obstetrician-gynecologist and primary care workforces, and L&D unit closures before and after the Dobbs decision. Primary data sources include the American Hospital Association’s Annual Survey of Hospitals, Centers for Medicare & Medicaid Services provider of services data (2010-2023), and Health Resources and Services Association Area Health Resource Files. By utilizing national, longitudinal datasets, this study aims to provide insights into the effects of state-level abortion policy shocks on access to broader healthcare resources. This study will be limited to the first 18 months following the Dobbs decision, a time of intense policy shifting. Our intention is to refine our methodologies while studying these immediate impacts, and then apply them over time to assess longer-term impacts within the reproductive healthcare space. We anticipate potential future shocks to include abortion care policies that may lead to recategorization of states’ access, Medicaid policy changes for obstetrical care, rural hospital and critical access hospital supports, and other unforeseen changes to the delivery of reproductive and obstetrical care. We hope to refine this methodology in a way that will allow us to study these changes as they occur. This study will provide critical insights into the broader implications of state-level abortion policies on access to reproductive and obstetrical care and inform targeted policy interventions.