title: OB-GYN Consultants and Sharp the BirthPlace: an exemplar of nurse-midwife and obstetrician interdependence and integration.
abstract: 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.
authors.affiliation: Sharp The BirthPlace, San Diego, California, USA.
authors.forename: C P
authors.initials: CP
authors.lastname: Dickinson
authors.forename: M
authors.initials: M
authors.lastname: Mateo
authors.forename: D
authors.initials: D
authors.lastname: Jackson
authors.forename: W
authors.initials: W
authors.lastname: Swartz
mesh_terms: 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