Maternal and Child Health Research Program, Center for Research on Reproduction and Women's Health, University of Pennsylvania Perelman School of Medicine, Department of Obstetrics and Gynecology, Philadelphia, PA, USA.
Am J Obstet Gynecol. 2012 Jul;207(1):30-5. doi: 10.1016/j.ajog.2011.10.009. Epub 2011 Oct 15.
Literature suggesting improved patient outcomes and patient satisfaction with the hospitalist model of inpatient medical care coupled with the desire to improve provider satisfaction led to the introduction of the laborist in obstetrics. This represents a significant change in the way obstetrics has been experienced and practiced from both a patient and provider perspective. The laborist was designed as a plausible model of obstetric care delivery where hospitals employ physicians to provide continuous coverage of labor and delivery units without other competing clinical duties. Anecdotal use of the laborist model in the provision of obstetric care is growing rapidly, despite the lack of research regarding its impact on maternal outcomes, neonatal outcomes, patient and provider satisfaction, and graduate medical education. We provide an overview of both the positive and negative attributes of this model of obstetric care delivery, discuss the current state of research addressing these attributes, and propose a research strategy to improve understanding of the impact of this model of care delivery.
文献表明，住院患者医疗的医院医师模式在改善患者预后和满意度方面的表现优于传统模式，再加上提高提供者满意度的愿望，导致了产科学家的出现。这代表了从患者和提供者的角度来看，妇产科的体验和实践方式发生了重大变化。产科学家被设计为一种合理的产科护理模式，医院聘请医生为分娩单位提供连续的护理，而没有其他竞争的临床职责。尽管缺乏关于其对产妇结局、新生儿结局、患者和提供者满意度以及住院医师医学教育影响的研究，但产科学家模式在提供产科护理方面的轶事使用正在迅速增长。我们提供了这种产科护理模式的积极和消极属性的概述，讨论了目前针对这些属性的研究状况，并提出了一项研究策略，以提高对这种护理模式的影响的理解。
