de Veer A J, Meijer W J
Midwifery. 1996 Mar;12(1):4-10. doi: 10.1016/s0266-6138(96)90032-7.
The aim of this study was to determine the feasibility of co-operation within maternity and obstetric care between midwives, general practitioners (GPs) and obstetricians.
descriptive correlational study.
The Netherlands. Policy is towards more co-operation between primary and secondary health care. However, in Dutch health care midwives, GPs and obstetricians may also have conflicts of interests.
members of obstetric co-operation groups (91 midwives, 53 GPs, 31 obstetricians) completed a questionnaire.
in the questionnaire information was collected on what members of obstetric co-operative groups expect from co-operation. Findings indicated that consensus existed about experienced advantages and disadvantages of co-operation, tasks that should be achieved, and how obstetric co-operative groups could be set up. Nevertheless, there was evidence of competition and there were also conflicting ideas about co-operation.
it is concluded that the findings have implications for the organisation of an obstetric co-operative group. If professionals want to start such a group it is preferable to start with topics that benefit all participants (win-win situation) and motivate them to participate actively. A second step may be an attempt to reach agreement about how to communicate with each other in the case of referrals and consultations. During this phase mutual trust and respect may grow, so that finally more difficult problems can be discussed (mixed-motives situation).
本研究旨在确定助产士、全科医生（GP）和产科医生在产科护理中开展合作的可行性。
描述性相关性研究。
荷兰。政策倾向于初级和二级医疗保健之间加强合作。然而，在荷兰医疗保健体系中，助产士、全科医生和产科医生之间可能也存在利益冲突。
产科合作小组的成员（91名助产士、53名全科医生、31名产科医生）完成了一份调查问卷。
在问卷中收集了产科合作小组成员对合作的期望信息。结果表明，对于合作的经验性优缺点、应完成的任务以及产科合作小组的组建方式存在共识。然而，有竞争的迹象，并且对于合作也存在相互矛盾的观点。
得出的结论是，研究结果对产科合作小组的组织有启示。如果专业人员想要启动这样一个小组，最好从对所有参与者都有益（双赢局面）的话题入手，并激励他们积极参与。第二步可以尝试就转诊和会诊时如何相互沟通达成一致。在此阶段，相互信任和尊重可能会增强，以便最终能够讨论更棘手的问题（混合动机情况）。
