FUTURE PROSPECTS OF NURSE-MIDWIFERY IN THE UNITED STATES

Authors

  • Alfreda Dempkowski M.P.H.

    Corresponding author
      National Center for Health Services Research, Room 8–41, Center Building, 3700 East-West Highway, Hyattsville, MD 20782.
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    • Alfreda Dempkowski is a Service Fellow at the National Center for Health Services Research and served as principal staff support to the Nonphysician Health Care Provider Technical Panel of the Graduate Medical Education National Advisory Committee (GMENAC). She is presently assigned to the Office of Program Development at the National Center. The author received her M.P.H. from Yale University in 1977.


  • The views expressed in the paper are those of the author and should not be attributed to the National Center for Health Services Research.

National Center for Health Services Research, Room 8–41, Center Building, 3700 East-West Highway, Hyattsville, MD 20782.

ABSTRACT

The future prospects of the nurse-midwifery profession are evaluated by considering both the factors which support and also those which may impede continued growth. Nurse-midwifery's contribution to health policy goals, in particular, increased access to services and cost containment; consumer preference for this provider; and the uniqueness of the content of care given in nurse-midwifery practice all portend favorably for the future of the profession. Factors which might jeopardize continued growth include an oversupply of obstetricians and legal and reimbursement constraints. Reckoning with the possible effects of a physician oversupply may be the most important task facing the profession.

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