TY - JOUR T1 - Family medicine obstetrics. Collaborative interdisciplinary program for a declining resource. JF - Canadian Family Physician JO - Can Fam Physician SP - 68 LP - 74 VL - 51 IS - 1 AU - David Price AU - Michelle Howard AU - Elizabeth Shaw AU - Joyce Zazulak AU - Heather Waters AU - David Chan Y1 - 2005/01/01 UR - http://www.cfp.ca/content/51/1/68.abstract N2 - PROBLEM BEING ADDRESSED A continuing decline in the number of family physicians in Canada providing obstetric, and particularly intrapartum, care. OBJECTIVE OF PROGRAM The Maternity Centre of Hamilton in Ontario was a pilot project initiated to help family physicians provide full obstetric care through a collaborative interdisciplinary model and shared call. PROGRAM DESCRIPTION Eleven family physicians provided care in collaboration with a nurse practitioner and other health professionals. Women came from the Maternity Centre's own practices, community physicians, or agencies, or through self-referral. More than a quarter of the women were considered psychosocially high-risk patients. Key features of the program included interdisciplinary collaboration and information technology that supported prenatal and birth documentation. CONCLUSION The program has helped family physicians, and even recruited some, to practise full obstetric care and has provided high-quality, accessible services to pregnant women. Physicians experienced increased jab and personal satisfaction, and patients were highly satisfied with the service. ER -