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INTEGRATED MIDWIFE–PHYSICIAN PRACTICE: Obstetric Darwinism?

Authors

  • Tekoa King CNM, MPH,

    Corresponding author
      University of California, San Francisco, 400 Parnassus Avenue, Box 0346, San Francisco, CA 94143–0346.
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    • Tekoa King is an assistant clinical professor in the Department of Obstetrics and Gynecology and Reproductive Sciences at the University of California at San Francisco, a faculty member of the Community Based Nurse-Midwifery Education Program, and a member of an integrated faculty MD/CNM practice. Ms. King received her BSN from the University of California at San Francisco, midwifery certificate from Georgetown University, and MPH in Maternal Child Health from the University of California at Berkeley.

  • Mary Ann Shah CNM, MS, FACNM

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    • Mary Ann Shah is editor-in-chief of the Journal of Nurse-Midwifery and has served in this capacity for the past 22 years. She also chairs the FACNM Board of Governors and serves as special projects coordinator for the State University of New York Health Science Center at Brooklyn Midwifery Education Program. Ms. Shah received a bachelor of science degree from Columbia University, a master of science degree from Fordham University, and a certificate in nurse-midwifery from New York Medical College.


University of California, San Francisco, 400 Parnassus Avenue, Box 0346, San Francisco, CA 94143–0346.

ABSTRACT

The health care delivery system is experiencing rapid changes in structure and form. Economically driven reform efforts emphasize cost-containment that encompasses quality and patient satisfaction. Collaborative or joint nurse-midwife/physician practices have been proposed as one solution ideally suited to meet the contingencies of the new era of health care. Collaborative efforts can range from clinical collaboration to financial and structural integration between midwives and physician partners. The structure of different interdisciplinary models is presented. Future issues faced by one such model, the joint or integrated midwife/physician practice, are discussed.

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