Increasing workload and concerns about physician exhaustion necessitated reorganizing the delivery of obstetric services on Manitoulin Island in Ontario.
To organize obstetrics in a remote rural community to provide safe, accessible care, improve working conditions for local physicians, and involve the local hospital and health care workers in the solution.
A prenatal clinic for all obstetric care on the island was established. It was based at the local hospital and organized by a nurse-midwife. Local physicians rotated through the clinic and provided obstetric coverage on their on-call days.
The clinic has helped improve working conditions for local physicians and maintain high-quality obstetric care in this remote area. Local women's initial resistance to the clinic seems to be disappearing with time. Ongoing chart audits reveal intervention rates similar to those found in other Canadian studies of rural obstetric care.
Notes
Cites: Can Med Assoc J. 1984 Mar 1;130(5):571-66697267
Cites: Lancet. 1985 Aug 24;2(8452):429-322863454
Cites: J Fam Pract. 1991 Dec;33(6):609-131744606
Cites: Am J Public Health. 1990 Jul;80(7):814-82356904
Cites: Can Fam Physician. 1997 Jan;43:64-99626425
Cites: CMAJ. 1991 Apr 15;144(8):987-942009477
Cites: N Z Med J. 1988 Apr 27;101(844):207-93362469