Hart-Hester Susan, Arthur Chris Rodgers, Olutade Joyce, Beebe Diane, Replogle William
Department of Family Medicine, University of Mississippi Medical Center, 2500 N. State Street, Jackson, MS 39216-4505, USA.
J Miss State Med Assoc. 2002 Jun;43(6):173-9.
The objective of this study was to investigate factors associated with cause for attrition from obstetrics among family physicians in Mississippi and to identify enhancing factors for those practicing obstetrics.
A twenty-two item self-addressed survey was utilized.
All identifiable allopathic and osteopathic family physicians currently practicing in Mississippi.
Factors that contribute to decisions by family physicians to practice or not practice obstetrics.
Of the 652 surveys mailed, 235 (36%) were returned. Twenty-seven respondents indicated that they provide prenatal care. Fifteen of these performed non-emergent vaginal deliveries; ten provided the full spectrum of obstetrical care. There was a significant difference in the number of months of OB training between respondents who do non-emergent vaginal deliveries and those who did not. Personal interest and training ranked highest as influences for physicians practicing obstetrics. Factors associated with the decision not to practice included high malpractice premiums and the perception that other local physicians provide obstetrics.
According to study results, most Mississippi family physicians are not practicing obstetrics. The influence of high malpractice premiums and the influence of the length of OB training on the physicians' choice to practice OB require additional investigation.
本研究旨在调查密西西比州家庭医生产科服务流失的相关因素，并确定从事产科服务的促进因素。
采用了一份包含22个条目的自填式调查问卷。
目前在密西西比州执业的所有可识别的对抗疗法和整骨疗法家庭医生。
家庭医生决定是否从事产科服务的相关因素。
在邮寄的652份调查问卷中，有235份（36%）被退回。27名受访者表示他们提供产前护理。其中15人进行非急诊阴道分娩；10人提供全方位的产科护理。进行非急诊阴道分娩的受访者与未进行非急诊阴道分娩的受访者之间，产科培训月数存在显著差异。个人兴趣和培训被列为医生从事产科服务的最重要影响因素。与不从事产科服务决定相关的因素包括高额医疗事故保险费以及认为当地其他医生提供产科服务。
根据研究结果，大多数密西西比州的家庭医生不从事产科服务。高额医疗事故保险费的影响以及产科培训时长对医生从事产科服务选择的影响需要进一步调查。
