This home study program has as its focus population-based care for wom
en. Although clearly significant, concentrating effort solely on the i
ndividual does not ensure that the population as a whole is healthier.
Experts are encouraging health care providers to consider the populat
ion as their ''patient'' and to begin documenting the incidence and pr
evalence of its disease. This article addresses the following issues:
the definition of population-based health care; the relationship betwe
en primary care, women's health care, and population-based health care
; the importance of a population-based approach or perspective for mid
wives; the use of population-based care in the provision of prenatal c
are; the definition of the populations to whom midwives have historica
lly provided care and the documentation of how those populations are c
hanging; and the research and policy issues for midwives related to po
pulation-based health care. (C) 1997 by the American College of Nurse-
Midwives.