Journal article
How Health Care Setting Affects Prenatal Providers' Risk Reduction Practices: A Qualitative Comparison of Settings
Women & health, Vol.45(2), pp.41-57
08/08/2007
DOI: 10.1300/J013v45n02_03
PMID: 18019285
Abstract
Background: We sought to understand how systemic factors might facilitate or impede providers' ability to screen for and intervene on prenatal behavioral risks.
Methods: We convened eight focus groups of 60 prenatal care providers to explore methods for assessing and counseling pregnant women about tobacco, alcohol, and illicit drug use. Because practice setting was often mentioned as either an inducement or barrier to risk prevention, we conducted a re-analysis of focus group transcripts to examine systemic factors.
Results: Practice setting strongly influenced providers' behavior, and settings differed by continuity of care, availability of resources, and organized support for risk prevention. The most striking contrasts were found between private practice and a large HMO.
Conclusion: Each setting had features that facilitated prevention counseling. Understanding such systemic factors could lead to improved risk prevention practices during pregnancy across all health care settings.
Details
- Title: Subtitle
- How Health Care Setting Affects Prenatal Providers' Risk Reduction Practices: A Qualitative Comparison of Settings
- Creators
- Paul Gilbert - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San FranciscoKaren Herzig - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San FranciscoDhara Thakar - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San FranciscoJoyce Viloria - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San FranciscoAlyssa Bogetz - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San FranciscoDale W Danley - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San FranciscoRebecca Jackson - University of CaliforniaBarbara Gerbert - Division of Behavioral Sciences, Professionalism, and Ethics , University of California San Francisco
- Resource Type
- Journal article
- Publication Details
- Women & health, Vol.45(2), pp.41-57
- Publisher
- Taylor & Francis Group
- DOI
- 10.1300/J013v45n02_03
- PMID
- 18019285
- ISSN
- 0363-0242
- eISSN
- 1541-0331
- Language
- English
- Date published
- 08/08/2007
- Academic Unit
- Community and Behavioral Health
- Record Identifier
- 9984063128902771
Metrics
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