OB-GYN Consultants and Sharp the BirthPlace: an exemplar of nurse-midwife and obstetrician interdependence and integration.
The "co-management" model of perinatal care as practiced at OB-GYN Consultants and Sharp The BirthPlace maximizes the practice strengths of both nurse-midwives and obstetricians. The nurse-midwife is the primary provider for 95% of the clients; high-risk women are referred to the physician as appropriate. The model provides extensive health education and an option of a freestanding birth center for low-risk women. In the face of rapid health care changes, which emphasize cost effectiveness, this model has appealing features for managed care systems.
Dickinson
C P
CP
Sharp The BirthPlace, San Diego, California, USA.
Mateo
M
M
Jackson
D
D
Swartz
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W
D016550:Birthing Centers / Q000458:organization & administration*; D003253:Consultants; D019033:Delivery of Health Care, Integrated; D005260:Female; D006801:Humans; D008880:Midwifery; D016294:Models, Nursing; D017146:Models, Organizational; D019555:Physician-Nurse Relations; D010820:Physicians; D011247:Pregnancy; D015397:Program Evaluation; D000078329:Workforce