Zander L I, Watson M, Taylor R W, Morrell D C
J R Coll Gen Pract. 1978 Aug;28(193):455-8.
Despite the growing role of specialist obstetricians in intranatal care the importance of the general practitioner's role, especially in antenatal and postnatal care, is being increasingly recognized. We describe a new way of sharing care which involves the consultant obstetrician attending antenatal sessions at fortnightly intervals in the practice. In addition the antenatal record is retained by the patient herself who brings it to all attendances, both in the practice and at the hospital.We analysed the results of this arrangement and compared them with a controlled series of hospital patients and found some advantages for shared care arrangements including, in particular, a reduction in the number of different doctors seen by patients, a big reduction in the number of patients who were seen by more than three doctors, and an increase in the breast feeding rate at the time of discharge from hospital.
尽管专科产科医生在产时护理中的作用日益重要，但全科医生的作用，尤其是在产前和产后护理中的作用，正越来越受到认可。我们描述了一种新的护理共享方式，即顾问产科医生每两周到诊所参加一次产前会诊。此外，产前记录由患者自己保存，她在诊所和医院就诊时都随身携带。我们分析了这种安排的结果，并将其与一组对照的住院患者进行比较，发现共享护理安排有一些优点，特别是患者看不同医生的次数减少，看超过三位医生的患者数量大幅减少，以及出院时母乳喂养率提高。
