Provider Attitudes on Regionalization of Maternity Care: A National Survey

Autor: Julian N. Robinson, Sarah Rae Easter, Kelly Gilmore, Jay Schulkin
Rok vydání: 2021
Předmět:
Zdroj: Maternal and Child Health Journal. 25:1402-1409
ISSN: 1573-6628
1092-7875
Popis: To explore provider perspectives surrounding national guidelines proposing regionalization of maternal care. An 18-item survey focused on provider attitudes and practices surrounding regionalized maternity care was administered to a national sample of practicing obstetricians. We classified respondants reporting less than 500 annual deliveries at their hospital as low-volume providers and those practicing at hospitals performing 500 or more annual deliveries as high-volume providers. We compared responses according to hospital delivery volume using univariate analysis. Of the 497 physicians surveyed, 278 people responded (56%) with 229 currently practicing obstetrics. The median annual delivery volume amongst respondents was 200 (interquartile range 100–1900) with 146 (63.7%) practicing in low-volume delivery centers. The need for medical or surgical expertise was the most commonly reported indication for maternal transfer (19.7%) and independent of practice setting. Ninety-six percent of providers agreed with the concept of regionalization, but respondents in high-volume centers reported higher familiarity with the levels of maternal care paradigm compared to their low-volume counterparts (81.9% v. 62.3%, p
Databáze: OpenAIRE
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