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RAND Study ReduxFrom: Don Miller (DrMiller@eNATAL.com)Sat Jun 28 09:25:01 2003
Although the levels of compliance don't ring true to me for the prenatal care I've seen delivered for over 20 years, I think anyone who delivers prenatal care should at least look at the guidelines that the recent RAND study used and consider how their practice would compare in theory and in *reality*. For example, I can't believe that 100% of patients aren't screened for anemia at the first visit (who doesn't do a CBC?) but it *was* shocking that only 43% of the patients in the study received a glucose screen between 24-28 weeks (even 90% compliance would be bad). Whether you believe the results are completely bogus or not, what the study does show is that pregnant patients fall through the cracks *all the time* (or at least their care is not documented which brings glee to trial lawyers). If you say "but not in MY practice!", you're probably wrong. If you're curious, I've made the RAND results applicable to prenatal care available at http://www.eNATAL.com/pdfs/RAND-PrenatalCare.pdf
-- Donald W. Miller, Jr., MD, FACOG Founder & Chief Architect eNATAL, LLC http://www.eNATAL.com
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