Fleissig A, Kroll D, McCarthy M
Department of Epidemiology and Public Health, University College London Medical School.
Br J Gen Pract. 1997 Jan;47(414):45-6.
New recommendations suggesting that maternity care should be increasingly community-based have generated concern regarding the interprofessional cooperation between general practitioners and midwives. In Camden, London, this service was expanded in 1993. Although existing joint antenatal care arrangements between GPs and midwives were not expected to alter significantly, the shift of care from hospital to community midwives, and the expansion of community-led care to women with complications, was expected to have implications for the GPs. A questionnaire-based study asked GPs who provide antenatal care about their role and liaison with other professionals. Most were satisfied with the current arrangements; only a minority felt that their workload, clinical practice, or communication with obstetric teams had altered.
新的建议表明,孕产护理应越来越多地以社区为基础,这引发了人们对全科医生和助产士之间跨专业合作的担忧。在伦敦的卡姆登,这项服务于1993年得到了扩展。尽管全科医生和助产士之间现有的联合产前护理安排预计不会有显著改变,但护理从医院向社区助产士的转移,以及将社区主导的护理扩展到有并发症的妇女,预计会对全科医生产生影响。一项基于问卷调查的研究询问了提供产前护理的全科医生他们的角色以及与其他专业人员的联络情况。大多数人对当前的安排感到满意;只有少数人觉得他们的工作量、临床实践或与产科团队的沟通发生了变化。