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Health Service

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Health Care Service Worksheet

Choose one health care service or function from your readings or this week’s vocabulary exercise that most interests you, personally or professionally. Identify it below.

Division:

Describe the chosen service or function of care by filling out the following. Address each point with complete, grammatically correct sentences.

• Focus or mission of the service or function (100–200 words): • I have chosen OB/GYN from our weekly vocabulary worksheet; the mission of this field is Obstetrician-gynecologists to provide the highest quality of patient care in obstetrics, gynecology and primary care with compassion and concern for patients well-being • to maintain programs and clinical research efforts that will attract outstanding staff and advance the care of women to educate resident physicians to practice obstetrics and gynecology at the highest standards.

• Description of the population served (100–200 words):

• Based on my research ( J Women’s Health (Larchmt). 2013 Jul; 22(7): 643–648. doi: 10.1089/jwh.2012.4119) The description of the population being served is diverse among the races, point being The overall patient demand for ob-gyn services in the United States is forecast to grow by 6% between 2010 and 2020 (Table 1). The female population age 14 and older is projected to increase by more than 10% between 2010 and 2020, but much of this growth will be among women age 65 and older (33% growth rate) that use relatively fewer ob-gyn related services. An estimated 81% of time for ob-gyn related services is currently devoted to women of reproductive age (18–44 years old), and this population is projected to grow in the United States by slightly less than 6% during this period (Fig. 1). If future patterns of care delivery remain similar to today's care delivery patterns, growth in demand for women's health care services between 2010 and 2020 will require the equivalent of an additional 2,090 clinical FTEs of ob-gyns at the national level.
[pic]
FIG. 1.
Estimated demand for women's health care (full-time equivalents of obstetrician-gynecologists) by U.S. female population age group for years 2010 and 2020.
Projected growth in the demand for women's health care services was not found to be equally divided among the races. Over half (56%) of the growth in demand by 2020 will be associated with more needs of Hispanic women compared with 18% growth in service needs by the non-Hispanic white population. In 2010, approximately 17% of ob-gyn related service time was utilized by patients of Hispanic origin, which accounts for approximately 6,700 clinical FTEs to provide such services. By 2020, approximately 19% of ob-gyn service time will be dedicated to providing care to Hispanic women, which equates to approximately 8,200 clinical FTEs of ob-gyn physicians.

• Specific care providers or professionals who work in this service or function (100–200 words):

The specific care professionals that work in this field are the OB/GYN physician, nurse, medical assistant, physician assistant, and laboratory and ultrasound technicians.

• How this service or function of care interacts with the health care structure in which it exists (100–200 words):

I believe that even though we have OB/GYN physicians some women prefer using a midwife from my research of Midwives and Ob/Gyns: A Quest for Collaboration in Obstetric Care

Aaron Caughey, MD, PhD; Tekoa L. King, CNM, MPH In March 2011, the American College of Nurse-Midwives (ACNM) and the American College of Obstetricians and Gynecologists (ACOG) released a new revision of the Joint Statement of Practice Relations Between Obstetrician-Gynecologists and Certified Nurse-Midwives/Certified Midwives.[1] (For Medscape Medical News coverage, see A Call for Greater Cooperation Between Ob-Gyns and Midwives .) This landmark publication is part of an ongoing initiative that emphasizes fostering and enhancing collaborative practice between certified nurse-midwives (CNMs)/certified midwives (CMs) and obstetrician-gynecologists (ob/gyns). Both ACNM and ACOG have agreed to support evidence-based practice and promote the highest standards for education, national professional certification, and recertification, among other shared commitments, to meet the goals outlined in the Joint Statement.

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