Sonenberg Andrea
Pace University, Lienhard School of Nursing, 861 Bedford Road, Pleasantville, NY 10570, USA.
Policy Polit Nurs Pract. 2010 Nov;11(4):253-9. doi: 10.1177/1527154411398137.
This article discusses one of four findings of a larger descriptive correlational health policy study, the purpose of which was to investigate relationships among state regulation of nurse-midwifery practice, utilization of certified nurse-midwives (CNM) for Medicaid funded prenatal care, and maternal newborn outcomes. The larger study showed that use of accurate data about CNM practice and subsequent health care outcomes creates a challenge for researchers because of the paucity of data related to services provided by CNMs. Barriers to adequate data collection related to CNM services, specifically those funded by Medicaid, preclude legitimate conclusions about subsequent health care policy. Methods of workforce data collection need to be addressed by health care and health policy groups to facilitate further investigation of the relationships among state regulation of CNM practice, utilization of CNMs for Medicaid-funded prenatal care and maternal newborn outcomes as they affect access to care for vulnerable populations.
本文讨论了一项规模更大的描述性关联健康政策研究的四项发现之一，该研究的目的是调查州对助产士执业的监管、医疗补助计划资助的产前护理中认证助产士（CNM）的使用情况以及孕产妇新生儿结局之间的关系。规模更大的研究表明，由于与CNM提供的服务相关的数据匮乏，使用有关CNM执业及后续医疗保健结局的准确数据给研究人员带来了挑战。与CNM服务（特别是由医疗补助计划资助的服务）相关的充分数据收集障碍，妨碍了就后续医疗保健政策得出合理结论。医疗保健和健康政策团体需要解决劳动力数据收集方法问题，以便进一步调查州对CNM执业的监管、医疗补助计划资助的产前护理中CNM的使用情况以及孕产妇新生儿结局之间的关系，因为它们会影响弱势群体获得护理的机会。
