Population-based primary health care for women. An overview for midwives.
This home study program has as its focus population-based care for women. Although clearly significant, concentrating effort solely on the individual does not ensure that the population as a whole is healthier. Experts are encouraging health care providers to consider the population as their "patient" and to begin documenting the incidence and prevalence of its disease. This article addresses the following issues: the definition of population-based health care; the relationship between primary care, women's health care, and population-based health care; the importance of a population-based approach or perspective for midwives; the use of population-based care in the provision of prenatal care; the definition of the populations to whom midwives have historically provided care and the documentation of how those populations are changing; and the research and policy issues for midwives related to population-based health care.
Garceau
L M
LM
Johns Hopkins University, School of Hygiene and Public Health, Department of Maternal and Child Health, Baltimore, MD 21205, USA.
Paine
L L
LL
Barger
M K
MK
D005260:Female; D015438:Health Behavior; D006801:Humans; D008880:Midwifery; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011295:Prenatal Care; D011320:Primary Health Care / Q000458:organization & administration*; D011637:Public Health Nursing; D014481:United States / Q000453:epidemiology; D016387:Women's Health