Elaine Germano is on leave from her position as district public health director for the State of New Mexico Department of Health, as well as her part-time position as staff nurse-midwife for the University of New Mexico School of Medicine. She is a doctoral student in the Health Policy and Administration Department of the School of Public Health, University of North Carolina at Chapel Hill. She received her master's degree in public health from the University of Rochester School of Medicine in 1980 and her certificate in Nurse-Midwifery from the University of Medicine and Dentistry of New Jersey in 1981.
HOME BIRTH AND SHORT-STAY DELIVERY: Lessons in Health Care Financing for Providers of Health Care for Women
Article first published online: 31 DEC 2010
1997 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 42, Issue 6, pages 489–498, November-December 1997
How to Cite
Germano, E. and Bernstein, J. (1997), HOME BIRTH AND SHORT-STAY DELIVERY: Lessons in Health Care Financing for Providers of Health Care for Women. Journal of Nurse-Midwifery, 42: 489–498. doi: 10.1016/S0091-2182(97)00080-3
- Issue published online: 31 DEC 2010
- Article first published online: 31 DEC 2010
The current restructuring of the U.S. health care delivery system is driven primarily by economic forces. Although primary care providers may understand the roles of technology and advocacy in fostering fundamental change, they may not be familiar with the issues related to financing of health care and, thus, may not fully appreciate the extent to which economic factors influence the character of their professional lives and the services they provide. Analysis of the loss of the home birth option in the 1950s provides a method for understanding and influencing the factors driving health care restructuring today. In examining short-stay delivery in the 1990s, this article also addresses ways in which managed health care systems may improve or restrict women's access to a variety of primary care services.