Introducing a new collaborative prenatal clinic model.

Abstract

To measure quality of care-planning for women in a new collaborative prenatal model of care. A collaborative patient-centered (CPC) model was introduced into a tertiary prenatal clinic, replacing the traditional model. A retrospective analysis was conducted of women with a first documented hospital doctor contact between February 1, 2015, and October 1, 2016. Quality of care-planning before and after introduction of the model was compared by measuring the number and size of documented care plans and amount of doctor contact. Categorical data were compared using χ2 or Fisher exact tests; continuous data were analyzed using the student t test. Quality of care was measured for 3606 women before, and 3511 after, introduction of the CPC model. Under the model, more women had clinical risks identified and care plans documented (2224 [63.3%] vs 1883 [52.2%]; P<0.001), and more clinical risks were identified (1.07 vs 0.74; P<0.001). Doctors documented more in each care plan (P<0.001) and had more subsequent clinical contact with women (0.69±1.23 vs 0.88±1.34; P<0.001) in the model. Introduction of a collaborative model in a tertiary prenatal clinic improvedidentification of clinical risks and documentation of care plans, and increased doctor contacts.