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Post by John Craine on Feb 25, 2018 9:35:26 GMT -5
ACOG Committee Opinion Number 731, March 2018ABSTRACT: Individual prenatal care is intended to prevent poor perinatal outcomes and provide education to women throughout pregnancy, childbirth, and the postpartum period through a series of one-on-one encounters between a woman and her obstetrician or other obstetric care provider. Concerns regarding increasing health care costs, health care provider availability, dissatisfaction with wait times, and the minimal opportunity for education and support associated with the individual care model have given rise to interest in alternative models of prenatal care. One alternative model, group prenatal care, may be beneficial or preferred for some practice settings and patient populations, although individual prenatal care remains standard practice. Group prenatal care models are designed to improve patient education and include opportunities for social support while maintaining the risk screening and physical assessment of individual prenatal care. Bringing patients with similar needs together for health care encounters increases the time available for the educational component of the encounter, improves efficiency, and reduces repetition. Evidence suggests patients have better prenatal knowledge, feel more ready for labor and delivery, are more satisfied with care in prenatal care groups, and initiate breastfeeding more often. There is no evidence that suggests that group prenatal care causes harm. Individual and group care models warrant additional study with a goal of demonstrating differences in outcomes and identifying populations that benefit most from specific care models. www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Group-Prenatal-Care
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Liz Stern
CHI Staff
Posts: 148
My job role is: Staff
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Post by Liz Stern on Feb 25, 2018 14:04:16 GMT -5
Awesome! Thanks for sharing, John. Liz
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Post by Tanya Munroe on Feb 25, 2018 22:07:08 GMT -5
AT LAST
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smerrell
CHI Staff
Posts: 243
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Post by smerrell on Mar 2, 2018 15:57:50 GMT -5
One of the recommendation states: "When participation in group prenatal care is offered, it should be provided as an alternative option to traditional prenatal care and not mandated."
How do re properly frame opt-out so that practices don't view it as restricting patient choice?
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Post by John Craine on Mar 3, 2018 7:30:34 GMT -5
One of the recommendation states: "When participation in group prenatal care is offered, it should be provided as an alternative option to traditional prenatal care and not mandated." How do re properly frame opt-out so that practices don't view it as restricting patient choice? Ha ha, their biases are showing. Consider, at practices providing only traditional care, patients are given no choice and are mandated into traditional care. One could easily reverse "group prenatal care" and "traditional prenatal care" in that statement At Centering practices patients actually have a choice, YAY! Opt-out provides patients the opportunity to sample the less familiar option in order to help them make an informed choice. At no point is Centering ever "mandated" for a patient. Opt-out also creates a number of other benefits for the practice including: - larger group enrollments
- more group options for patients
- more flexible scheduling
Finally, opt-out eliminates the need for "recruitment" and the considerable investment in time and effort and variability of results. There is another good discussion of opt-out here centeringconnects.org/thread/37/opt-out
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Post by nlewis on Mar 5, 2018 12:27:46 GMT -5
Marketing in working on an official response. Hoping to post this week. Stay tuned.
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smerrell
CHI Staff
Posts: 243
My job role is: Staff
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Post by smerrell on Mar 5, 2018 16:53:47 GMT -5
Ha ha, their biases are showing. Consider, at practices providing only traditional care, patients are given no choice and are mandated into traditional care. One could easily reverse "group prenatal care" and "traditional prenatal care" in that statement At Centering practices patients actually have a choice, YAY! Opt-out provides patients the opportunity to sample the less familiar option in order to help them make an informed choice. At no point is Centering ever "mandated" for a patient. Opt-out also creates a number of other benefits for the practice including: - larger group enrollments
- more group options for patients
- more flexible scheduling
Finally, opt-out eliminates the need for "recruitment" and the considerable investment in time and effort and variability of results. There is another good discussion of opt-out here centeringconnects.org/thread/37/opt-outLove this framing. Thank you!
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Post by nlewis on Mar 7, 2018 9:03:36 GMT -5
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