title: The birth of a collaborative model: obstetricians, midwives, and family physicians.
abstract: In the United States, the challenges of maternity care include provider workforce, cost containment, and equal access to quality care. This article describes a collaborative model of care involving midwives, family physicians, and obstetricians at the Boston Medical Center, which serves a low-income multicultural population. Leadership investment in a collaborative model of care from the Department of Obstetrics and Gynecology, Section of Midwifery, and the Department of Family Medicine created a culture of safety and commitment to patient-centered care. Essential elements of the authors' successful model include a commitment to excellence in patient care, communication, and interdisciplinary education.
authors.affiliation: Department of Family Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA 02118, USA. Christine.pecci@bmc.org
authors.forename: Christine Chang
authors.initials: CC
authors.lastname: Pecci
authors.forename: Julie
authors.initials: J
authors.lastname: Mottl-Santiago
authors.forename: Larry
authors.initials: L
authors.lastname: Culpepper
authors.forename: Linda
authors.initials: L
authors.lastname: Heffner
authors.forename: Therese
authors.initials: T
authors.lastname: McMahan
authors.forename: Aviva
authors.initials: A
authors.lastname: Lee-Parritz
mesh_terms: D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008427:Maternal Health Services / Q000458:organization & administration* / Q000592:standards; D008880:Midwifery / Q000458:organization & administration* / Q000592:standards; D017146:Models, Organizational; D009774:Obstetrics / Q000458:organization & administration* / Q000592:standards; D018802:Patient-Centered Care; D019555:Physician-Nurse Relations; D010821:Physicians, Family / Q000458:organization & administration*; D057285:Precision Medicine; D011247:Pregnancy; D011787:Quality of Health Care; D014481:United States; D000078329:Workforce