AI Article Synopsis
- Family Medicine (FM) physicians are crucial in supporting vulnerable populations, particularly in prenatal care, but are facing a decline in delivery practices, contributing to a projected shortage of prenatal care providers by 2030.
- A study analyzed 487 patient charts to compare the social determinants of health between FM and OB/Gyn prenatal care patients, revealing that FM patients tend to be younger, more likely to identify as African American, single, have lower education levels, rely on Medicaid, and exhibit higher tobacco use during pregnancy.
- Despite these social risk factors, FM patients had a lower overall C-section rate compared to those cared for by OB/Gyn, indicating that FM physicians effectively manage care without compromising patient outcomes.
Article Abstract
Introduction: Family Medicine (FM) physicians play a vital role in caring for vulnerable populations across diverse practice settings. The significant decline in FM physicians performing deliveries compounds the estimated shortage of 9000 prenatal care providers expected by 2030.This study investigated the social risk profile, as characterized by social determinants of health, of patients receiving prenatal care from FM versus Obstetrics and Gynecology (OB/Gyn) providers.
Methods: Retrospective chart review of patients receiving prenatal care between 2015 to 2018 at Penn State Health Hershey Medical Center comparing social determinants of health between FM and OB/Gyn.
Results: A total of 487 patient charts were reviewed with final analysis completed on 215 charts from each cohort. When compared with OB/Gyn, prenatal patients cared for by FM were more likely to be younger (27 vs 29 years old; < .0001), African American (28% vs 8%; < .0001), single (52% vs 37%; < .01), have high school or less education (67% vs 49%; < .01), use Medicaid (46% vs 23%; < .0001), and use tobacco during pregnancy (17% vs 8%; < .01). In addition, FM patients had a lower rate of total Cesarean-sections (C-section), including primary and repeat, when compared with OB/Gyn (23% vs 32%; = .04).
Conclusions: Our work demonstrates that when compared with OB/Gyn at our institution, FM physicians provide care to a cohort of patients with an increased burden of social risk without compromise to care as evidenced by a lower C-section rate and similar gestational age at delivery.
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| http://dx.doi.org/10.3122/jabfm.2021.01.200279 | DOI Listing |
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