Innovation to Providing Interprofessional Maternity Care

McMaster University

Status: Unknown

Conditions: Pregnancy

Treatments: Other: Collaborative model; Other: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT00961987

05-1309

Details and patient eligibility

About

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.

Enrollment: 700 estimated patients

Sex: Female

Ages: 16 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 16 years of age or older
• Attending their intake appointment at the Centre
• Ability to understand English
• Legal status in Canada

Exclusion criteria

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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700 participants in 2 patient groups

Collaborative model

Experimental group

Description:

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.

Treatment:

Other: Collaborative model

Usual care

Active Comparator group

Description:

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

Treatment:

Other: Usual care