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Providing Obstetric Care: Suggestions From Experienced Family Physicians
Melina K Taylor1, Tyler Barreto2, Jessica Taylor Goldstein3
1CorEvitas, LLC, Waltham, MA.
Family Medicine
|August 4, 2023
Summary
To sustain obstetric care, mid- to late-career family physicians suggest improving interprofessional relationships, call coverage, and work-life balance. Support from practices, hospitals, and national organizations is crucial for family physicians providing obstetric care.
Area of Science:
- Family Medicine
- Obstetrics
- Rural Health
Background:
- Declining number of family physicians providing obstetric care.
- Reduced patient access to obstetric services, particularly in rural areas.
- Need to understand experiences of experienced family physicians in obstetrics.
Purpose of the Study:
- Investigate experiences of mid- to late-career family physicians in obstetrics.
- Gather suggestions for sustaining obstetric care within family medicine practices.
- Identify strategies to maintain family physician involvement in deliveries.
Main Methods:
- Online survey administered to mid- to late-career family physicians.
- 30-item survey focused on obstetrical practice and continuation strategies.
- Thematic analysis of open-text comments on maintaining obstetric care.
Main Results:
- 992 family physicians responded (56% response rate).
- Key themes: interprofessional relationships, call coverage, training, practice characteristics, work-life balance, policy, and compensation.
- Identified individual and structural factors influencing longevity in obstetric practice.
Conclusions:
- Multi-level support is essential for retaining family physicians in obstetrics.
- Practices and hospitals can directly impact obstetric primary care provision.
- National organizations can drive systemic changes to support family physicians in obstetrics.
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