Marsh G N, Cashman H A, Russell I T
Br Med J (Clin Res Ed). 1985 Mar 23;290(6472):901-3. doi: 10.1136/bmj.290.6472.901.
In late 1983 a four page questionnaire on general practitioner obstetrics was sent to a 50% random sample of general practitioners in the Northern region of England; 84% responded. Half of them said that they had access to general practitioner facilities for delivery, and half of these used them. A quarter of all respondents had provided intranatal care previously but had given it up, most of them during the late 1970s. Younger general practitioners were more highly qualified in obstetrics than older ones but did not do more intranatal work. Isolated general practitioner maternity units were much more likely to be used than those that were alongside consultant units or integrated with them. Ninety per cent of respondents provided antenatal care, 77% of these at special clinics and 88% with midwives in attendance. Teamwork, however, was not well developed. Increasing general practitioner participation in obstetric care seems feasible but depends heavily on more appropriate training and intranatal facilities being provided for general practitioners in association with specialist units.
1983年末，一份关于全科医生产科服务的四页问卷被寄给了英格兰北部地区50%的随机抽取的全科医生样本；84%的人进行了回复。其中一半表示他们可以使用全科医生提供的接生设施，而这一半中又有一半使用了这些设施。所有受访者中有四分之一以前提供过产前护理，但后来放弃了，其中大部分是在20世纪70年代末放弃的。年轻的全科医生在产科方面比年长的更有资质，但从事的产前工作并不更多。独立的全科医生产科单元比那些与顾问单元相邻或与之整合的单元更有可能被使用。90%的受访者提供产前护理，其中77%在专门诊所进行，88%有助产士在场。然而，团队协作发展得并不好。增加全科医生对产科护理的参与似乎是可行的，但很大程度上取决于为全科医生与专科单元联合提供更合适的培训和产前设施。
