title: Changing provider practices to enhance preconceptional wellness.
abstract: Primary care providers who fail to provide preconceptional care to every woman of reproductive age during each primary care visit are losing key preventive opportunities. Changing provider practices involves multidisciplinary input into the planning of care, support of clinical leaders and professional organizations, and adequacy of funding for proposed changes. Programs in California, North Carolina, and South Carolina have demonstrated significant changes in provider acceptance of preconceptional.
authors.affiliation: Women's and Children's Services Regional Programs Department, Sutter Medical Center, Sacramento, CA 95819, USA. culluma@sutterhealth.org
authors.forename: Arlene S
authors.initials: AS
authors.lastname: Cullum
mesh_terms: D019985:Benchmarking / Q000458:organization & administration; D002140:California; D005260:Female; D019983:Guideline Adherence; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D008485:Medical Audit; D009657:North Carolina; D024802:Nurse's Role; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D016742:Preconception Care / Q000592:standards*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011320:Primary Health Care / Q000592:standards*; D013022:South Carolina; D017749:Total Quality Management / Q000458:organization & administration