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Date: | Thu, 2 Aug 2012 11:24:57 -0400 |
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Karen Querna asked for research findings on private practice IBCLCs. In thinking about this, the numbers are so low compared to hospital lactation consultants and in comparison to the plethora of studies done on peer counseling and number of peer counselors that it would be a little like trying to study the differences between babies who were breastfeed to two years of age compared to those who were prematurely weaned in the United States. This type of research needs a very well designed operations research study.
So, I have a proposal. An outrageous proposal perhaps, but one that I actually did implement all the time in my former role in International Development. If Aetna wants to become known as a leader in covering breastfeeding mothers, they could donate $5 million dollars to an operations research study in New York City and upstate New York to compare reimbursement, training, monitoring, and care giving models for private practice lactation consultants. This would examine the roles in both the urban AND rural settings.
I am sure many of you are going to gasp at the $5 million, but having done operations research on a large scale it is not actually that much money and it is certainly not that much of the profit margins of a large corporation such as Aetna.
Sincerely,
Susan E. Burger, MHS, PhD, IBCLC
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