Obstetrician-gynecologists as primary care physicians: the Oregon experience--early perceptions regarding the effects of legislative action

American Journal of Obstetrics and Gynecology
E P KirkM Collins

Abstract

Our purpose was to assess whether legislative action influenced the role of obstetrician-gynecologists as primary care physicians. An observational study was performed on the basis of a questionnaire sent to 410 obstetrician-gynecologists and 27 medical directors of managed-care organizations. Of 67% of obstetrician-gynecologists and 96% of medical directors who responded, there was agreement as to the content of primary care, but a minority (38%) of obstetrician-gynecologists identified themselves as primary care providers. A minority of medical directors (35%) felt that obstetrician-gynecologists should serve in that role. Both obstetrician-gynecologists and medical directors felt that legislation had little impact. The reticence of obstetrician-gynecologists to assume a major role in primary care appears to be the result of an uneasiness with accepting a more comprehensive role in patient management and gatekeeping. They appear comfortable with the more traditional roles but feel that training and experience has not prepared them well for the management of more complex medical problems.

References

Apr 1, 1994·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
May 18, 1994·JAMA : the Journal of the American Medical Association·M L RivoT G DeWitt
Apr 1, 1993·American Journal of Obstetrics and Gynecology·J A Merrill
Jan 3, 1996·JAMA : the Journal of the American Medical Association·J D Dimitrakov

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Citations

Jul 28, 2009·Journal of Women's Health·Stacy B MeneesVanessa Dalton
Mar 31, 2010·Journal of Women's Health·Stacy B MeneesLeslie Aldrich
Jan 5, 2008·Paediatric and Perinatal Epidemiology·Gustavo H DayanSusan Reef
Sep 6, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Maria A MorganJay Schulkin
Oct 22, 2002·American Journal of Obstetrics and Gynecology·Bernard GonikSarah Foster
Oct 14, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Amy B JessopJocelyn Andrel

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