A conceptual model for regionalization and consolidation of obstetric-gynecologic services

The regionalization and consolidation of obstetric-gynecologic services, especially maternity services, is a significant current trend in our specialty. The concepts of consolidation and regional organization are interdependent and interrelated, and the movement has received impetus from economic considerations as well as the needs for organizational efficiency. Regionalization and consolidation of services are also consistent with the stated goals of The American College of Obstetricans and Gynecologists which call for the assurance that adequate obstetric-gynecologic care is available to all women, through (1) solutions to the problems of maldistribution of personnel and facilities, and (2) reductions in health-care costs by the more efficient utilization of personnel and facilities. Activities in this field have been enhanced by the interests of such health-related entities as the National Foundation-March of Dimes and the Robert Wood Johnson Foundation in these studies. It is mandatory that progress in this activity be dictated by practical as well as theoretical considerations. A conceptual model for the organization of these developments will be presented with considerations of patient care and services, medical education (both continuing and residency), and research (including basic and clinical) as they apply to the model.