THE EFFECTS OF MALPRACTICE INSURANCE ON CERTIFIED NURSE-MIDWIVES - THE CASE OF RURAL ARIZONA

被引:5
|
作者
GORDON, RJ [1 ]
机构
[1] UNIV ARIZONA,COLL MED,RURAL HLTH OFF,PHOENIX BRANCH,TUCSON,AZ 85721
来源
JOURNAL OF NURSE-MIDWIFERY | 1990年 / 35卷 / 02期
关键词
D O I
10.1016/0091-2182(90)90065-D
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This study of CNMs in rural Arizona indicated malpractice insurance has had a negative effect on the practice of nurse-midwifery. In 1987 a telephone survey was conducted to assess the effects on the practice patterns of Arizona's 21 rural CNMs, four of whom had had previous experience as licensed midwives. Results indicated 24% had been refused medical back-up by a physician. Although 10% were personally responsible for paying malpractice insurance premiums, they were not able to afford the cost and were going "bare". Nearly 30% had changed their employment status from private practitioner to salaried employee, suffering a decrease in professional autonomy, flexibility of hours, quality of lifestyle, benefits, and income. Unless there are changes that result in lower malpractice insurance premiums or greater compensation and benefits, there likely will be a diminishing number of entries into an increasingly stressed profession. © 1990.
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页码:99 / 106
页数:8
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