Dove Marion, Dogba Maman Joyce, Rodríguez Charo
Assistant Professor and Director of Post-graduate Education in the Department of Family Medicine at McGill University in Montreal, Que, and a physician in the family medicine teaching unit at the CLSC Côte-des-Neiges, practising obstetrics at the Jewish General Hospital.
Assistant Professor in the Department of Family Medicine at Laval University in Quebec city, Que.
Can Fam Physician. 2017 Aug;63(8):e387-e393.
To examine the reasons why family physicians continue or discontinue providing intrapartum care in their clinical practice.
Qualitative descriptive study.
Two hospitals located in a multicultural area of Montreal, Que, in November 2011 to June 2012.
Sixteen family physicians who were current or former providers of obstetric care.
Data were collected using semistructured qualitative interviews. Thematic analysis was used to analyze the interview transcripts.
Three overarching themes that help create understanding of why family doctors continue to provide obstetric care were identified: their attraction, often initiated by role models early in their careers, to practising complete continuity of care and accompanying patients in a special moment in their lives; the personal, family, and organizational pressures experienced while pursuing a family medicine career that includes obstetrics; and their ongoing reflection about continuing to practise obstetrics.
The practice of obstetrics was very attractive to family physician participants whether they provided intrapartum care or decided to stop. More professional support and incentives might help keep family doctors practising obstetrics.
探讨家庭医生在临床实践中继续或停止提供产时护理的原因。
定性描述性研究。
2011年11月至2012年6月位于魁北克省蒙特利尔一个多元文化地区的两家医院。
16名现任或前任产科护理提供者的家庭医生。
采用半结构化定性访谈收集数据。运用主题分析法对访谈记录进行分析。
确定了三个有助于理解家庭医生为何继续提供产科护理的总体主题：他们往往在职业生涯早期受榜样影响，热衷于提供全面的连续性护理并在患者人生的特殊时刻陪伴左右；在从事包括产科在内的家庭医学职业过程中所经历的个人、家庭和组织压力；以及他们对继续从事产科工作的持续反思。
产科实践对参与研究的家庭医生非常有吸引力，无论他们是提供产时护理还是决定停止。更多的专业支持和激励措施可能有助于家庭医生继续从事产科工作。
