• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of canfamphysLink to Publisher's site
Can Fam Physician. Mar 2000; 46: 587-92, 595-7.
PMCID: PMC2144970

Intrapartum care by general practitioners and family physicians. Provincial trends from 1984-1985 to 1994-1995.

Abstract

OBJECTIVE: To determine provincial trends in provision of intrapartum care by general practitioners and family physicians (GP/FPs) for the 11 years from 1984 to 1995. DESIGN: Analyses of provincial Medical Care Fee-for-Service Utilization data for births from 1984-1985 to 1994-1995. SETTING: 10 provinces of Canada. MAIN OUTCOME MEASURES: Proportion of vaginal births billed by GP/FPs (expressed as total number of vaginal births billed by GP/FPs divided by total number of vaginal births). RESULTS: In 1994-1995, the proportion of vaginal births billed by GP/FPs ranged from 77.2% in British Columbia and 70.8% in Nova Scotia to 28.9% in Ontario and 23.6% in Prince Edward Island. These proportions have remained relatively high and stable during the period studied in some provinces, such as British Columbia and Nova Scotia, and have declined steadily and notably in others. CONCLUSIONS: Data show that GP/FPs' involvement in vaginal births in most Canadian provinces is decreasing. This trend demonstrates a shift in GP/FPs' practice patterns and could indicate a coming shortage of obstetrical care providers.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (503K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Cohen L. Looming manpower shortage has Canada's obstetricians worried. CMAJ. 1991 Feb 15;144(4):478–482. [PMC free article] [PubMed]
  • Nesbitt TS, Connell FA, Hart LG, Rosenblatt RA. Access to obstetric care in rural areas: effect on birth outcomes. Am J Public Health. 1990 Jul;80(7):814–818. [PMC free article] [PubMed]
  • Nesbitt TS, Baldwin LM. Access to obstetric care. Prim Care. 1993 Sep;20(3):509–522. [PubMed]
  • Reid AJ, Carroll JC. Choosing to Practise Obstetrics: What factors influence family practice residents? Can Fam Physician. 1991 Sep;37:1859–1867. [PMC free article] [PubMed]
  • Buckle D. Obstetrical practice after a family medicine residency. Can Fam Physician. 1994 Feb;40:261–268. [PMC free article] [PubMed]
  • Larimore WL, Sapolsky BS. Maternity care in family medicine: economics and malpractice. J Fam Pract. 1995 Feb;40(2):153–160. [PubMed]
  • Mehl LE, Bruce C, Renner JH. Importance of obstetrics in a comprehensive family practice. J Fam Pract. 1976 Aug;3(4):385–389. [PubMed]
  • Cohen M, Ferrier BM, Woodward CA, Goldsmith CH. Gender differences in practice patterns of Ontario family physicians (McMaster medical graduates). J Am Med Womens Assoc. 1991 Mar-Apr;46(2):49–54. [PubMed]
  • Woodward CA, Cohen M, Ferrier BM, Goldsmith CH, Keane D. Correlates of certification in family medicine in the billing patterns of Ontario general practitioners. CMAJ. 1989 Nov 1;141(9):897–904. [PMC free article] [PubMed]
  • Donaldson C, Hundley V, Mapp T. Willingness to pay: a method for measuring preferences for maternity care? Birth. 1998 Mar;25(1):32–39. [PubMed]
  • Levitt C, Kaczorowski J. Provision of intrapartum care by GP/FPs in Canada: an update. CMAJ. 1999 Mar 23;160(6):815–816. [PMC free article] [PubMed]
  • Levitt C, Khanlou N, Kaczorowski J, Feldman P, Guibert R, Goulet F, Papageorgiou A, Bardin C, Continelli A, Duarte-Franco E, et al. Attitudes toward obstetrics training. Residents surveyed at McGill University and University of Montreal. Can Fam Physician. 1997 Feb;43:239–246. [PMC free article] [PubMed]
  • Woodward CA, Rosser W. Effect of medicolegal liability on patterns of general and family practice in Canada. CMAJ. 1989 Aug 15;141(4):291–299. [PMC free article] [PubMed]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...