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Erschienen in: Maternal and Child Health Journal 6/2018

06.02.2018

Challenges Faced by Family Physicians Providing Advanced Maternity Care

verfasst von: Aimee R. Eden, Lars E. Peterson

Erschienen in: Maternal and Child Health Journal | Ausgabe 6/2018

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Abstract

Introduction Maldistribution of maternity care (MC) providers in the U.S. limits access to full spectrum MC services. Obstetricians are concentrated in urban areas with many rural areas reliant on family physicians (FP) to provide MC, yet fewer FPs are providing MC. The objective of this study was to understand the challenges FPs face in gaining skills in and providing advanced MC. Methods We conducted qualitative semi-structured interviews with 51 purposively sampled key stakeholders in family medicine MC (21 family medicine-OB fellowship directors, 19 past fellows, and 10 family medicine residency directors of programs with advanced MC training). Interviews were recorded, transcribed, and analyzed using an inductive approach to qualitative content analysis. Results Three primary challenges for FPs providing advanced MC emerged from the interviews. Training: most family medicine residency programs do not provide sufficient surgical OB training, so fellowship training is an important alternative for FPs to acquire such skills. Credentialing: obtaining hospital privileges to perform cesarean sections is unpredictable and highly variable by institution. Professional relationships: “turf battles” with other MC providers can limit FPs’ ability to provide care commensurate with their level of training. Discussion As the predominant provider of MC in rural and underserved areas, FPs need to be supported to provide advanced MC services. Possible strategies to accomplish this include: enhanced family medicine training in MC; policy changes to address credentialing inconsistencies; and improved team-based care for pregnant women to ensure that every woman has access to high quality MC.
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Metadaten
Titel
Challenges Faced by Family Physicians Providing Advanced Maternity Care
verfasst von
Aimee R. Eden
Lars E. Peterson
Publikationsdatum
06.02.2018
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 6/2018
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-018-2469-2

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