Women’s impressions of their inpatient birth care as provided by family physicians in the Shizuoka Family Medicine Training Program in Japan

Asia Pacific Family Medicine

Mariko Yokota³  Shinji Tsunawaki²  Keiichiro Narumoto⁴  Michael D Fetters¹ 

[1] Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, Michigan 48104-1213, USA

[2] Shizuoka Family Medicine Training Program, Kikugawa Family Medicine Center, 1055-1 Akatsuchi, Kikugawa, Shizuoka 437-1507, Japan

[3] Department of Family Medicine, Kikugawa Municipal General Hospital, 1632 Higashiyokoji, Kikugawa, Shizuoka 439-0022, Japan

[4] Department of Obstetrics and Gynecology, Kikugawa Municipal General Hospital, 1632 Higashiyokoji, Kikugawa, Shizuoka 439-0022, Japan

关键词: Community health;    Health care shortage;    Japan;    Rural health care;    Qualitative research;    Women’s health;    Obstetrics;    Residency training;    Family physicians;    Family medicine;   

Others  :  790533
DOI  :  10.1186/1447-056X-12-1

 received in 2012-06-27, accepted in 2013-05-03,  发布年份 2013

【 摘 要 】

Background

Even though Japan faces serious challenges in women’s health care such as a rapidly aging population, attrition of obstetrical providers, and a harsh legal climate, few family medicine residency training programs in Japan include training in obstetrics, and the literature lacks research on women’s views of intra-partum pregnancy care by family physicians.

Findings

In this exploratory study, we conducted semi-structured qualitative interviews with five women who received their admission, intrapartum, delivery and discharge care from family medicine residents in the obstetrics ward of a community training hospital. Four women had vaginal births, and one had a Cesarean section. Three were primiparous, and two multiparous. Their ages ranged from 22–33. They found value in family physician medical knowledge and easy communication style, though despite explanation, some had trouble understanding the family physician’s scope of work. These women identified negative aspects of the hospital environment, and wanted more anticipatory guidance about what to expect physically after birth, but were enthusiastic about seeing a family doctor after discharge.

Conclusions

These results demonstrate the feasibility of family medicine residents providing inpatient birth care in a community hospital, and that patients are receptive to family physicians providing that care as well after discharge. Women’s primary concerns relate mostly to hospital environment issues, and better understanding the care family physicians provide. This illustrates-areas for family physicians to work for improvements.

【 授权许可】

   
2013 Yokota et al.; licensee BioMed Central Ltd.

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