Department of OB/GYN, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USA.
Obstet Gynecol Clin North Am. 2012 Sep;39(3):373-82. doi: 10.1016/j.ogc.2012.05.006.
Health care reform in the United States will continue to necessitate creativity in the organization and staffing of health care models. The Department of Obstetrics and Gynecology at Bronx-Lebanon Hospital Center has expanded its staff by placing midwives as primary providers for most routine care and much of the specialty care offered within the department. Midwives and attending physicians work collaboratively in outpatient specialty clinics. Inpatient care is provided by a team of midwives, residents, and attending physicians. This model of care is easily replicated, and has resulted in improvements in clinical practice and increased patient and personnel satisfaction.
美国的医疗改革将继续需要在医疗模式的组织和人员配备方面发挥创造力。布朗克斯-莱巴嫩医院中心的妇产科通过将助产士作为大多数常规护理和该部门提供的大部分专业护理的主要提供者，扩大了其工作人员队伍。助产士和主治医生在门诊专科诊所中协作。住院护理由一组助产士、住院医生和主治医生提供。这种护理模式易于复制，已导致临床实践得到改善，并提高了患者和人员的满意度。
