Kruse J, Phillips D, Wesley R M
Quincy Family Practice Center, IL 62301.
J Fam Pract. 1990 Mar;30(3):336-41.
To determine the relative importance of factors influencing the withdrawal of family physicians from maternity care, two studies, one done in Ontario, Canada, and the other done in the United States, were compared. The proportion of residency-trained family physicians who provide maternity care at the initiation of their careers and the proportion who have given up maternity care are nearly identical in the United States and Canada. Both studies found that about one half of the family physicians who currently provide maternity care were giving consideration to stopping. The reasons underlying this withdrawal were multifactorial. Malpractice issues were the predominant concern of United States family physicians, but the data from the studies indicate that other issues, such as interference with lifestyle and office practice and the effect of attitudes of obstetricians, should not be overlooked.
为确定影响家庭医生退出产科护理的因素的相对重要性，对两项研究进行了比较，一项在加拿大安大略省开展，另一项在美国开展。在美国和加拿大，接受住院医师培训的家庭医生在职业生涯初期提供产科护理的比例以及已放弃产科护理的比例几乎相同。两项研究均发现，目前提供产科护理的家庭医生中约有一半在考虑停止提供。这种退出的原因是多方面的。医疗事故问题是美国家庭医生最主要的担忧，但研究数据表明，其他问题，如对生活方式和门诊业务的干扰以及产科医生态度的影响，也不应被忽视。
