The Role of the Community Hospital in a Regional Program of Obstetrics and Neonatal Care

1980 ◽  
Vol 7 (1) ◽  
pp. 197-203
Author(s):  
Jeffrey L. Brown
2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696713
Author(s):  
David Seamark ◽  
Deborah Davidson ◽  
Helen Tucker ◽  
Angela Ellis-Paine ◽  
Jon Glasby

BackgroundIn 2000 20% of UK GPs had admitting rights to community hospitals. In subsequent years the number of GPs engaged in community hospital clinical care has decreased.AimWhat models of medical care exist in English community hospitals today and what factors are driving changes?MethodInterviews with community hospital clinical staff conducted as part of a multimethod study of the community value of community hospitals.ResultsSeventeen interviews were conducted and two different models of medical care observed: GP led and Trust employed doctors. Factors driving changes were GP workload and recruitment challenges; increased medical acuity of patients admitted; fewer local patients being admitted; frustration over the move from ‘step-up’ care from the local community to ‘step-down’ care from acute hospitals; increased burden of GP medical support; inadequate remuneration; and GP admission rights removed due to bed closures or GP practices withdrawing from community hospital work.ConclusionMultiple factors have driven changes in the role of GP community hospital clinicians with a consequent loss of GP generalist skills in the community hospital setting. The NHS needs to develop a focused strategy if GPs are to remain engaged with community hospital care.


2020 ◽  
Vol 46 (5) ◽  
pp. 320-327
Author(s):  
Susan Kennedy

While artificial womb technology (ectogenesis) is currently being studied for the purpose of improving neonatal care, I contend that this technology ought to be pursued as a means to address the unprecedented rate of unintended pregnancies. But ectogenesis, alongside other emerging reproductive technologies, is problematic insofar as it threatens to disrupt the natural link between procreation and parenthood that is normally thought to generate rights and responsibilities for biological parents. I argue that there remains only one potentially viable account of parenthood: the voluntarist account, which construes parental rights as robust moral obligations that must be voluntarily undertaken. The problem is that this account mistakenly presumes a patriarchal divide between procreation and parenthood. I propose a reframing of procreation and parenthood from a feminist perspective that recognises gestational motherhood as involving robust moral obligations that ought to be voluntarily undertaken. If this were the case, all gestational mothers would be, by definition, willing mothers. To make this happen I argue that ectogenesis technology must be a widely available reproductive option.


2019 ◽  
Vol 19 (5) ◽  
pp. 402-408
Author(s):  
Barbara Snapp ◽  
Barbara Reyna

2011 ◽  
Vol 24 (11) ◽  
pp. 1407-1410 ◽  
Author(s):  
Kari Horowitz ◽  
Deborah Feldman ◽  
Brittany Stuart ◽  
Adam Borgida ◽  
Yu Ming Victor Fang ◽  
...  

CHEST Journal ◽  
1972 ◽  
Vol 62 (2) ◽  
pp. 10S-13S ◽  
Author(s):  
Bernard E. Levine ◽  
Howard M. Kravetz ◽  
Murray Spotnitz ◽  
Robert E Westfall

2017 ◽  
Vol 106 (8) ◽  
pp. 1218-1219 ◽  
Author(s):  
Helmut Hummler
Keyword(s):  

2014 ◽  
Vol 43 (suppl 1) ◽  
pp. i3-i3 ◽  
Author(s):  
D. Y. Koduah ◽  
D. Inegbenebor ◽  
J. Ambepitiya ◽  
M. Khan ◽  
F. Mlinaku ◽  
...  

2017 ◽  
Vol 36 (1) ◽  
pp. 50-54
Author(s):  
Julie Cardona ◽  
Mary Lou Simoncelli ◽  
Courtney Sexton ◽  
Deborah A. Raines
Keyword(s):  

AbstractPreeclampsia is one of the most common complications in the last half of pregnancy. Mother-baby nurses are often present at the birth to provide neonatal care as well as ongoing care during the first days of life. This article discusses the implications of preeclampsia for the neonate and the role of the mother-baby nurse in the care of these infants.


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