Change in Oregon maternity care workforce after malpractice premium subsidy implementation.

Objectives: (1) To determine the proportion of maternity care providers who continue to deliver babies in Oregon; (2) to determine the important factors relating to the decision to discontinue maternity care services; and (3) to examine how the rural liability subsidy is affecting rural maternity care providers' ability to provide maternity care services.

Study Design: We surveyed all obstetrical care providers in Oregon in 2002 and 2006. Survey data, supplemented with state administrative data, were analyzed for changes in provision of maternity care, reasons for stopping maternity care, and effect of the malpractice premium subsidy on practice.

Residency applicants' perspectives on family medicine residency training length.

Background And Objectives: The Future of Family Medicine report advocated experimentation with 4-year residency training models. This study examines residency applicants' opinions about extending the length of residency training and seeks to determine which features of an extended program would be most desirable to applicants.

Methods: We conducted a cross-sectional, descriptive, self-administered survey of residency applicant interviewees at Oregon's three family medicine residency training programs in 2004-2005.

Screening for HIV: a review of the evidence for the U.S. Preventive Services Task Force.

Background: HIV infection affects 850,000 to 950,000 persons in the United States. The management and outcomes of HIV infection have changed substantially since the U.S.

Prenatal screening for HIV: A review of the evidence for the U.S. Preventive Services Task Force.

Background: Each year in the United States, 6000 to 7000 women with HIV give birth. The management and outcomes of prenatal HIV infection have changed substantially since the U.S.

Factors influencing cessation of pregnancy care in Oregon.

Background And Objectives: Anecdotal evidence suggests that many providers who previously delivered babies are no longer doing so, both in Oregon and nationally. This study determined the proportion of pregnancy care providers who have stopped or are planning to stop providing this care in Oregon and identified the important factors influencing such practice changes.

Methods: We mailed a survey in October and November 2002 to all obstetrician-gynecologists, family physicians, general practitioners, and certified nurse midwives practicing in Oregon.