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J La State Med Soc. 2001 Mar;153(3):127-33.

Barriers to provision of obstetric services by family physicians in Louisiana.

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  • 1Family Practice Residency Program, Louisiana State University Health Sciences Center, Alexandria, Louisiana, USA.


The purpose of this paper is to identify family physicians' perceived barriers to providing obstetrical services in Louisiana. A questionnaire was sent to 585 active members of the Louisiana Academy of Family Physicians; 308 (52.5%) were returned. Only 10.4% currently provide obstetric services; 56.4% did so in the past. Physicians in urban practices were significantly more likely to offer obstetric services than those in rural practices (13.9% and 6.7%). The most common barriers related to the cost of malpractice insurance and protection from legal liability (32.8%), followed by lack of coverage (19.7%), not having enough time (12.8%), and lifestyle protection (11.3%). Respondents who provided obstetric care in the past were not significantly more likely to identify the cost of malpractice insurance as a barrier than those who had never provided OB services (35.9% and 29.1%). Barriers to providing obstetric services by Louisiana's family physicians result in only 1 in 10 doing so despite the emphasis given to obstetrics in their residency programs.

[PubMed - indexed for MEDLINE]
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