1991年助产护士患者及诊疗情况的特征
Characteristics of nurse-midwife patients and visits, 1991.
作者信息
Paine L L, Lang J M, Strobino D M, Johnson T R, DeJoseph J F, Declercq E R, Gagnon D R, Scupholme A, Ross A
机构信息
Department of Maternal and Child Health, Boston University School of Public Health, MA 02118, USA.
出版信息
Am J Public Health. 1999 Jun;89(6):906-9. doi: 10.2105/ajph.89.6.906.
OBJECTIVES
This study describes the patient populations served by and visits made to certified nurse-midwives (CNMs) in the United States.
METHODS
Prospective data on 16,729 visits were collected from 369 CNMs randomly selected from a 1991 population survey. Population estimates were derived from a multistage survey design with probability sampling.
RESULTS
We estimated that approximately 5.4 million visits were made to nearly 3000 CNMs nationwide in 1991. Most visits involved maternity care, although fully 20% were for care outside the maternity cycle. Patients considered vulnerable to poor access or outcomes made 7 of every 10 visits.
CONCLUSIONS
Nurse-midwives substantially contribute to the health care of women nationwide, especially for vulnerable populations.
目的
本研究描述了美国认证助产士（CNM）所服务的患者群体以及他们进行的就诊情况。
方法
从1991年人口调查中随机抽取的369名认证助产士那里收集了16729次就诊的前瞻性数据。人口估计数来自采用概率抽样的多阶段调查设计。
结果
我们估计1991年全国近3000名认证助产士进行了约540万次就诊。大多数就诊涉及产科护理，尽管整整20%是在产科周期之外的护理。每10次就诊中有7次是由那些被认为难以获得医疗服务或可能出现不良结果的患者进行的。
结论
助产士为全国妇女的医疗保健做出了重大贡献，尤其是对弱势群体。
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