OBJECTIVE: The objective of this study was to evaluate the role of hospitalists and Maternal Fetal Medicine (MFM) subspecialists in obstetrical inpatient care.STUDY DESIGN: This electronic survey study was offered to members of the American College of Obstetrics u26 Gynecology (ACOG; n = 1,039) and the Society for Maternal-Fetal Medicine (SMFM; n = 1,813).RESULTS: Overall, 607 (21%) respondents completed the survey. Overall, 35% reported that hospitalists provided care in at least one of their hospitals. Compared with ACOG respondents, a higher frequency of SMFM respondents reported comfort with hospitalists providing care for all women on labor and delivery (74.4 vs. 43.5%, p = 0.005) and women with complex issues (56.4 vs. 43.5%, p = 0.004). The majority of ACOG respondents somewhat/completely agreed that hospitalists were associated with decreased adverse events (69%) and improved safety/safety culture (70%). Overall, 35% of ACOG respondents have MFM consultation available with 53% having inpatient coverage. Of these, 85% were satisfied with MFM availability.CONCLUSION: Over one-third of respondents work in units staffed with hospitalists and more than half have inpatient MFM coverage. It is important to evaluate if and how hospitalists can improve maternal and perinatal outcomes, and the types of hospitals that are best served by them.
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机译：目的：本研究的目的是评估住院医生和母胎医学（MFM）亚专科医师在产科住院治疗中的作用。研究设计：该电子调查研究已提供给美国妇产科学院的会员。 n = 1,039）和母胎医学学会（SMFM; n = 1,813）。结果：共有607位（21％）受访者完成了调查。总体而言，有35％的人报告说，住院医生至少在其中一家医院提供过护理。与ACOG受访者相比，SMFM受访者的频率更高，他们表示愿意为所有分娩和分娩的妇女提供护理的住院医生（74.4 vs. 43.5％，p = 0.005）和有复杂问题的女性（56.4 vs. 43.5％，p = 0.004）。 ）。 ACOG的大多数受访者在某种程度上/完全同意，住院医生与不良事件的减少（69％）和安全/安全文化的改善（70％）相关。总体而言，ACOG受访者中有35％接受了MFM咨询，其中53％的住院覆盖率。其中，有85％的人对MFM的使用感到满意。结论：超过三分之一的受访者在由医务人员组成的部门工作，一半以上的人拥有MFM住院治疗。重要的是要评估住院医生是否以及如何改善产妇和围产儿的结局，以及他们最能为他们服务的医院类型。
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