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Development of regionalized perinatal care.

机译:发展区域围产期保健。

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摘要

Regionalized perinatal care was first advocated in Canada 35 years ago. Its development in the United States of America (from 1971), United Kingdom (from 1972) and Australia (from 1978), has been described. In all instances, the efforts and perseverance of visionary individuals were crucial in introducing the concepts to the medical profession, and in bringing the principles to national consciousness at a governmental level. Official endorsement of regionalized perinatal care by both the national professional bodies and the central and regional governments was necessary. An important milestone along the path of regionalized perinatal care was the establishment of national training programmes, and the recognition of maternal-fetal medicine and neonatal-perinatal medicine as respective subspecialties for obstetricians and paediatricians. The developmental process requires close collaboration among all three groups (individuals, professional bodies and government) to improve both the quality and availability of perinatal services to a geographically defined region.
机译:35年前加拿大首次提倡区域性围产期保健。已经描述了它在美国(从1971年开始),英国(从1972年开始)和澳大利亚(从1978年开始)的发展。在所有情况下,有远见的个人的努力和毅力对于将概念引入医学界以及在政府层面将这些原则带入国民意识都是至关重要的。国家专业机构以及中央和区域政府都必须正式认可区域性围产期保健。区域性围产期保健道路上的一个重要里程碑是制定了国家培训计划,并承认母胎医学和新生儿围产医学分别为妇产科和儿科专科。发展过程要求所有三个群体(个人,专业团体和政府)密切合作,以提高围产期服务在地理上限定区域的质量和可用性。

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