General practitioners' compliance with guidelines for antenatal care.
OBJECTIVE
To assess general practitioners' compliance with Norwegian guidelines for antenatal care issued in 1984 and to identify characteristics of physicians with low compliance.


METHODS
Routine clinical practice in primary care.


METHODS
All women permanently residing in the county of Oppland who gave birth during a 12-month period 1988-89 and the general practitioners who provided their antenatal care.


METHODS
The content of the care was assessed from nine procedures, the selection of which was based on a previous perinatal audit. A 'compliance score' was established and logistic regression analysis was used to estimate pregnant women's odds for a low score by characteristics of their care-providing GPs.


RESULTS
GPs' compliance with the guidelines was lower for procedures which required recording of a clinical judgment. The odds for a low score increased significantly if the doctor was a male or worked in a single rather than a group practice. There was no association between compliance score and fetal outcome, or between compliance score and the effectiveness of antenatal care measured as the detection of major obstetric disorders.


CONCLUSIONS
The gender specific differences in GPs' antenatal care performance were the same as those reported by others. These findings warrant further research.
Norwegian Institute for Hospital Research, Trondheim.
B
B
Backe
G
G
Jacobsen
D000293:Adolescent; D000328:Adult; D016001:Confidence Intervals; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D016017:Odds Ratio; D009819:Office Visits / Q000706:statistics & numerical data*; D010349:Patient Compliance; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012044:Regression Analysis