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Family medicine obstetrics. Collaborative interdisciplinary program for a declining resource.

David Price1, Michelle Howard, Elizabeth Shaw

  • 1Department of Family Medicine, McMaster University, Hamilton, Ont. priced@mcmaster.ca

Canadian Family Physician Medecin De Famille Canadien
|March 1, 2005
PubMed
Summary

A pilot project in Hamilton, Ontario, successfully supported family physicians in providing full obstetric care. This collaborative model improved physician satisfaction and patient access to high-quality maternity services.

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Area of Science:

  • Family Medicine
  • Obstetrics
  • Healthcare Management

Background:

  • Declining number of family physicians providing obstetric care in Canada.
  • Need for innovative models to sustain intrapartum care services.

Purpose of the Study:

  • To evaluate a pilot project aimed at supporting family physicians in full-scope obstetric practice.
  • To assess the impact of an interdisciplinary, collaborative model on obstetric care delivery.

Main Methods:

  • Implementation of a collaborative interdisciplinary model with shared call at the Maternity Centre of Hamilton.
  • Involvement of 11 family physicians, a nurse practitioner, and other health professionals.
  • Care provided to a diverse patient population, including over 25% psychosocially high-risk individuals.

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Main Results:

  • Successful recruitment and retention of family physicians in obstetric care.
  • Provision of high-quality, accessible maternity services.
  • Increased job and personal satisfaction reported by participating physicians.
  • High patient satisfaction with the services received.

Conclusions:

  • The collaborative interdisciplinary model effectively supports family physicians in providing comprehensive obstetric care.
  • The program enhances physician engagement and satisfaction while ensuring quality patient care.
  • This model demonstrates a viable solution to the decline in family physician-led obstetric services.