Irresponsible and responsible resource management in obstetrics

Low budgets constrain and high budgets stimulate choices. In high-income countries, this economic reality may lead to overuse of healthcare services and pose unnecessary risks for mothers and infants. Options for improvement can be created at different levels of healthcare systems. Pregnancy provide...

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Bibliographic Details
Published in:Best practice & research. Clinical obstetrics & gynaecology 2017-08, Vol.43, p.87-106
Main Author: Arabin, Birgit, MD, PhD
Format: Article
Language:English
Subjects:
choosing wisely criteria
Delivery of Health Care - economics
ethical resource allocation
Female
Health Resources - organization & administration
Humans
maternal-fetal medicine
Mothers
Obstetrics - economics
Obstetrics - organization & administration
Obstetrics and Gynecology
Pregnancy
research and training in obstetrics and gynecology
risks and benefits
shared decision-making
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Summary:Low budgets constrain and high budgets stimulate choices. In high-income countries, this economic reality may lead to overuse of healthcare services and pose unnecessary risks for mothers and infants. Options for improvement can be created at different levels of healthcare systems. Pregnancy provides an effective opportunity to profile maternal risks and represents a vulnerable but potentially modifiable period from prenatal life to adulthood. In response to system-inherent false incentives, professional responsibility requires obstetricians to strive to improve the future health of families and their offspring despite disincentives for doing so. This chapter addresses professionally responsible resource management in obstetrics and identifies implications for patients, care givers, communities, policy makers, and academic faculties.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2016.12.009