Cook S S
Columbia University School of Nursing, New York, New York, USA.
Adv Pract Nurs Q. 1997 Spring;2(4):22-6.
Managed care plans, especially in capitated systems, have not recognized the value of childbirth education for facilitating the transition to parenthood, especially for first-time parents. Advanced practice nurses, who are the logical facilitators and teachers of such programs, have not always made cogent arguments for inclusion of childbirth education. Physicians have been embroiled in their own issues regarding managed care. The interaction of these three forces creates serious but not insurmountable constraints for providing comprehensive, cost-effective quality care for childbearing families.
管理式医疗计划，尤其是在按人头付费的体系中，尚未认识到分娩教育对于促进向为人父母的角色转变的价值，特别是对于初为父母者而言。高级执业护士作为此类项目的合理推动者和教师，并不总是能有力地论证将分娩教育纳入其中的必要性。医生们也深陷于他们自身与管理式医疗相关的问题之中。这三种力量的相互作用给为生育家庭提供全面、具成本效益的优质护理带来了严重但并非无法克服的限制。
