Factors associated with clinician adherence to guidelines for postpartum care: results from a California survey

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 13, 2025

Abstract Background In 2018, the American College of Obstetricians and Gynecologists (ACOG) issued multiple recommendations to optimize care within first 12 weeks postpartum. We explored extent which clinicians follow ACOG’s at postpartum visit identified factors associated with overall adherence clinical recommendations. Methods Between September 2023 February 2024, we collected data from an online survey about practices 174 obstetric practicing in California. The response rate was 76%. Adherence measured by asking always complete components drawn a list 26 used descriptive statistics ran linear regression models quantify association between guidelines years practice, proportion patients utilizing Medi-Cal, method reimbursement received provider, perceived organizational, financial patient barriers, duration number collaborations other providers. Results median percentage checked 62%. Significantly higher found among least practice compared those approximately 5 or less who collaborated more multidisciplinary providers versus fewer than 3. also on average spent 30 min vs. 20 their high barriers patients. contrast, served highly mixed Medi-Cal non-Medi-Cal recipients reported lower adherence. Conclusion sought understand were able align ACOG visit. that experienced clinicians, simplified either all few recipients, various disciplines best provide recommended guidelines. Our findings highlight where policy, resources training are needed improve guideline whole person care.

Language: Английский

Opportunities and Challenges to Improve Postpartum Care: Payors’ and Purchasers’ Perspectives in California

Women s Health Reports, Journal Year: 2025, Volume and Issue: 6(1), P. 464 - 475

Published: Jan. 1, 2025

Language: Английский