title: Special perinatal services in a large health maintenance organization.
abstract: The Kaiser Permanente (KP) Medical Care Program, the largest and oldest health maintenance organization in the United States, is generally considered a model and template for other health maintenance organizations and managed health care programs. Nationally, KP has almost 7 million members-about 5 million in California, 2.4 million of whom are in the KP Northern California Region (KPNCR). About 500,000 of those are children; physicians in the program see 32,000 prenatal patients and deliver more than 28,000 babies annually. KPNCR is the largest KP region; 26% of northern California's population are subscribers. This review addresses special perinatal programs in the KPNCR and emphasizes perinatal screening and genetic services.
authors.affiliation: Department of Genetics, Kaiser Permanente Medical Care Program, Oakland, CA 94611, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Schoen
mesh_terms: D000465:Algorithms; D002140:California; D005260:Female; D006279:Health Maintenance Organizations / Q000458:organization & administration; D006509:Hepatitis B / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000517:prevention & control; D008403:Mass Screening; D008427:Maternal Health Services / Q000458:organization & administration; D011247:Pregnancy