Dickinson C P, Mateo M, Jackson D, Swartz W
Sharp The BirthPlace, San Diego, California, USA.
Adv Pract Nurs Q. 1995 Fall;1(2):40-8.
The "co-management" model of perinatal care as practiced at OB-GYN Consultants and Sharp The BirthPlace maximizes the practice strengths of both nurse-midwives and obstetricians. The nurse-midwife is the primary provider for 95% of the clients; high-risk women are referred to the physician as appropriate. The model provides extensive health education and an option of a freestanding birth center for low-risk women. In the face of rapid health care changes, which emphasize cost effectiveness, this model has appealing features for managed care systems.
妇产科顾问诊所和夏普分娩中心所采用的围产期护理“共同管理”模式，最大限度地发挥了助产士和产科医生双方的业务优势。助产士是95%产妇的主要护理人员；高危产妇则会在适当的时候转诊给医生。该模式为产妇提供广泛的健康教育，并为低风险产妇提供独立分娩中心的选择。面对强调成本效益的快速医疗变革，这种模式对管理式医疗系统具有吸引力。
