Bahry V J, Fullerton J T, Lops V R
J Rural Health. 1989 Oct;5(4):387-96. doi: 10.1111/j.1748-0361.1989.tb00999.x.
A university-based program of perinatal care was extended to serve a spectrum of underserved populations through both urban and rural outreach. The program centered on the use of a multidisciplinary health care team comprised of a physician, nurse-midwife, health educator, social worker, nutritionist, pediatric nurse-practitioner, and patient case manager for health service delivery. It emphasized a decentralized service model with central referral and management of high-risk problems. The program has become a model for perinatal access and is reflected in current state legislation. The implementation of this program in four geographically rural communities is presented. Selected indices of perinatal outcome are presented, with San Diego County, CA, and national statistics as comparisons.
一个以大学为基础的围产期护理项目通过城市和农村外展服务得以扩展，以服务一系列未得到充分服务的人群。该项目以一个多学科医疗团队为核心，团队成员包括一名医生、一名助产士、一名健康教育工作者、一名社会工作者、一名营养师、一名儿科护士从业者以及一名负责健康服务提供的患者病例管理员。它强调一种分散式服务模式，同时对高危问题进行集中转诊和管理。该项目已成为围产期服务可及性的典范，并体现在当前的州立法中。本文介绍了该项目在四个地理上位于农村的社区的实施情况。还列出了围产期结局的选定指标，并与加利福尼亚州圣地亚哥县以及全国统计数据进行了比较。
