Am J Perinatol 1998; 15(3): 173-176
DOI: 10.1055/s-2007-993920

© 1998 by Thieme Medical Publishers, Inc.

Declines in Patient Volume: An Obstetrics and Gynecology Teaching Program's Response

Michele G. Curtis, John Riggs, Jorge D. Blanco
  • Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas Health Science Center - Houston, Texas
Further Information

Publication History

Publication Date:
04 March 2008 (online)


Historically, University teaching hospitals have been the primary providers of health care to the indigent population. With the advent of managed health-care plans, the university hospitals have seen a rapid decline in their obstetrical patient populations. This decrease is reflected in the numbers of deliveries and gynecological surgeries. From 1990 to 1995, these changes resulted in a significant decline in deliveries at our hospital, the Lyndon B. Johnson General Hospital. To reverse this ominous trend, we instituted a variety of changes resulting in a more patient-centered system and found an improvement in the numbers of obstetrical patients. In the following report, we describe these changes and the subsequent outcome.