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The aim of this pilot project is to determine if there are differences in patient outcomes and healthcare utilization between patients randomly assigned to usual care (a collaborative model of maternity care with co-located healthcare professionals but with referrals to off-site obstetricians) or to a collaborative model of maternity care with co-located healthcare professionals, including obstetricians. It is hypothesized that by creating a seamless interface between obstetrical consultation and ongoing longitudinal maternity care, patient outcomes (birth outcome data), patient satisfaction and healthcare utilization, including number of outpatient visits, ultrasounds, laboratory tests, consultations, etc, will be improved in the intervention group compared with the group receiving usual care. The results could potentially lead to other sites adopting this innovative model of maternity healthcare delivery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Collaborative model | Experimental | Patients will be referred (if necessary) to an obstetrician who will be co-located in the Maternity Centre and who will be part of the collaborative model of maternity care. |
|
| Usual care | Active Comparator | At present, if Maternity Centre patients require the specialized services of an obstetrician, the current standard of care is to refer them to obstetricians located offsite with no professional ties to the Maternity Centre |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collaborative model | Other | Patients will be referred (if necessary) to an obstetrician who will be co-located in the Maternity Centre and who will be part of the collaborative model of maternity care. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient outcomes (birth outcomes) | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | 9 months | |
| Healthcare utilization | 9 months |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christine Rodriguez, MSc | Contact | 905-525-9140 | 27528 | rodrigmc@mcmaster.ca |
| Keyna Bracken, MD | Contact | 905-528-5553 | bracken@mcmaster.ca |
| Name | Affiliation | Role |
|---|---|---|
| Keyna Bracken, MD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maternity Centre | Hamilton | Ontario | L8P 4V1 | Canada |
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| Usual care | Other | At present, if Maternity Centre patients require the specialized services of an obstetrician, the current standard of care is to refer them to obstetricians located offsite with no professional ties to the Maternity Centre |
|