Altman R, Schifrin B S, Shields J R, Clement D
AMI-Tarzana Regional Medical Center, Department of Maternal-Fetal Medicine, CA 91356.
J Perinatol. 1990 Mar;10(1):65-9.
A program of clinical perinatal research was established in a community-based hospital in collaboration with private-practice obstetricians and their patients. This longitudinal study, undertaken to investigate the value of a circulating placental protein as an indicator of fetal compromise, enrolled 200 unselected pregnant patients. The project required collection of five blood samples at 16, 20, 24, 28, and 32 weeks' gestation in addition to a level II ultrasound examination at 32 weeks. Baseline and interim prenatal visit data were collected, as were maternal and neonatal data upon delivery. Patients who participated were invariably enthusiastic about their involvement. The physicians and their staff were also generally pleased. We infer from these and other studies a need to provide enhanced educational, participatory opportunities to all pregnant women. We conclude that properly conducted, reasonably funded projects that offer no direct benefit to the patient or physician can be successfully carried out with physicians and their private patients in community hospitals. The potential benefits of developing such extended resources can only enhance medical care and foster satisfaction and cooperation among physicians and patients.
一个临床围产期研究项目在一家社区医院与私人执业产科医生及其患者合作开展。这项纵向研究旨在调查一种循环胎盘蛋白作为胎儿窘迫指标的价值，招募了200名未经筛选的孕妇。该项目除了在孕32周进行一次二级超声检查外，还需要在妊娠16、20、24、28和32周采集五份血样。收集了基线和中期产前检查数据，以及分娩时的母婴数据。参与的患者总是对自己的参与充满热情。医生及其工作人员也普遍感到满意。我们从这些研究和其他研究中推断，有必要为所有孕妇提供更多的教育和参与机会。我们得出结论，在社区医院中，与医生及其私人患者合作，可以成功开展没有直接惠及患者或医生、但实施得当且资金合理的项目。开发此类扩展资源的潜在益处只会改善医疗服务，并促进医生与患者之间的满意度与合作。
