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National assessment of obstetrics and gynecology and family medicine residents' experiences with CenteringPregnancy group prenatal care.
Place, Jean Marie; Van De Griend, Kristin; Zhang, Mengxi; Schreiner, Melanie; Munroe, Tanya; Crockett, Amy; Ji, Wenyan; Hanlon, Alexandra L.
Afiliação
  • Place JM; Department of Nutrition and Health Science, Public Health, Ball State University, Office 546, 1613 W. Riverside Ave, Muncie, IN, USA. jsplace@bsu.edu.
  • Van De Griend K; Department of Health Sciences, Community and Public Health, Idaho State University, Pocatello, ID, USA.
  • Zhang M; Health Systems and Implementation Science, Virginia Tech Carilion School of Medicine, Roanoke, USA.
  • Schreiner M; IU Health Family Medicine Residency Center, Muncie, IN, USA.
  • Munroe T; Quality and Special Initiatives, Centering Healthcare Institute, Boston, MA, USA.
  • Crockett A; Department of Obstetrics and Gynecology, Prisma Health, Greenville, SC, USA.
  • Ji W; Department of Statistics, Center for Biostatistics and Health Data Science, Virginia Tech, Roanoke, VA, USA.
  • Hanlon AL; Department of Statistics, Biostatistics and Health Data Science, Virginia Tech, Roanoke, VA, USA.
BMC Pregnancy Childbirth ; 23(1): 805, 2023 Nov 21.
Article em En | MEDLINE | ID: mdl-37990297
OBJECTIVE: To examine family medicine (FM) and obstetrician-gynecologist (OB/GYN) residents' experiences with CenteringPregnancy (CP) group prenatal care (GPNC) as a correlate to perceived likelihood of implementing CP in future practice, as well as knowledge, level of support, and perceived barriers to implementation. METHODS: We conducted a repeated cross-sectional study annually from 2017 to 2019 with FM and OB/GYN residents from residency programs in the United States licensed to operate CP. We applied adjusted logistic regression models to identify predictors of intentions to engage with CP in future practice. RESULTS: Of 212 FM and 176 OB/GYN residents included in analysis, 67.01% of respondents intended to participate as a facilitator in CP in future practice and 51.80% of respondents were willing to talk to decision makers about establishing CP. Both FM and OB/GYN residents who spent more than 15 h engaged with CP and who expressed support towards CP were more likely to participate as a facilitator. FM residents who received residency-based training on CP and who were more familiar with CP reported higher intention to participate as a facilitator, while OB/GYN residents who had higher levels of engagement with CP were more likely to report an intention to participate as a facilitator. CONCLUSION: Engagement with and support towards CP during residency are key factors in residents' intention to practice CP in the future. To encourage future adoption of CP among residents, consider maximizing resident engagement with the model in hours of exposure and level of engagement, including hosting residency-based trainings on CP for FM residents.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ginecologia / Internato e Residência / Obstetrícia Limite: Female / Humans / Pregnancy País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ginecologia / Internato e Residência / Obstetrícia Limite: Female / Humans / Pregnancy País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article