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Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands
BACKGROUND: This study aims to give insight into the opinions of maternity care professionals and other stakeholders on the integration of midwife-led care and obstetrician-led care and on the facilitating and inhibiting factors for integrating maternity care. METHODS: Qualitative study using interv...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962345/ https://www.ncbi.nlm.nih.gov/pubmed/27459967 http://dx.doi.org/10.1186/s12884-016-0975-z |
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author | Perdok, Hilde Jans, Suze Verhoeven, Corine Henneman, Lidewij Wiegers, Therese Mol, Ben Willem Schellevis, François de Jonge, Ank |
author_facet | Perdok, Hilde Jans, Suze Verhoeven, Corine Henneman, Lidewij Wiegers, Therese Mol, Ben Willem Schellevis, François de Jonge, Ank |
author_sort | Perdok, Hilde |
collection | PubMed |
description | BACKGROUND: This study aims to give insight into the opinions of maternity care professionals and other stakeholders on the integration of midwife-led care and obstetrician-led care and on the facilitating and inhibiting factors for integrating maternity care. METHODS: Qualitative study using interviews and focus groups from November 2012 to February 2013 in the Netherlands. Seventeen purposively selected stakeholder representatives participated in individual semi-structured interviews and 21 in focus groups. One face-to-face focus group included a combined group of midwives, obstetricians and a paediatrician involved in maternity care. Two online focus groups included a group of primary care midwives and a group of clinical midwives respectively. Thematic analysis was performed using Atlas.ti. Two researchers independently coded the interview and focus group transcripts by means of a mind map and themes and relations between them were described. RESULTS: Three main themes were identified with regard to integrating maternity care: client-centred care, continuity of care and task shifting between professionals. Opinions differed regarding the optimal maternity care organisation model. Participants considered the current payment structure an inhibiting factor, whereas a new modified payment structure based on the actual amount of work performed was seen as a facilitating factor. Both midwives and obstetricians indicated that they were afraid to loose autonomy. CONCLUSIONS: An integrated maternity care system may improve client-centred care, provide continuity of care for women during labour and birth and include a shift of responsibilities between health care providers. However, differences of opinion among professionals and other stakeholders with regard to the optimal maternity care organisation model may complicate the implementation of integrated care. Important factors for a successful implementation of integrated maternity care are an appropriate payment structure and maintenance of the autonomy of professionals. |
format | Online Article Text |
id | pubmed-4962345 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49623452016-07-28 Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands Perdok, Hilde Jans, Suze Verhoeven, Corine Henneman, Lidewij Wiegers, Therese Mol, Ben Willem Schellevis, François de Jonge, Ank BMC Pregnancy Childbirth Research Article BACKGROUND: This study aims to give insight into the opinions of maternity care professionals and other stakeholders on the integration of midwife-led care and obstetrician-led care and on the facilitating and inhibiting factors for integrating maternity care. METHODS: Qualitative study using interviews and focus groups from November 2012 to February 2013 in the Netherlands. Seventeen purposively selected stakeholder representatives participated in individual semi-structured interviews and 21 in focus groups. One face-to-face focus group included a combined group of midwives, obstetricians and a paediatrician involved in maternity care. Two online focus groups included a group of primary care midwives and a group of clinical midwives respectively. Thematic analysis was performed using Atlas.ti. Two researchers independently coded the interview and focus group transcripts by means of a mind map and themes and relations between them were described. RESULTS: Three main themes were identified with regard to integrating maternity care: client-centred care, continuity of care and task shifting between professionals. Opinions differed regarding the optimal maternity care organisation model. Participants considered the current payment structure an inhibiting factor, whereas a new modified payment structure based on the actual amount of work performed was seen as a facilitating factor. Both midwives and obstetricians indicated that they were afraid to loose autonomy. CONCLUSIONS: An integrated maternity care system may improve client-centred care, provide continuity of care for women during labour and birth and include a shift of responsibilities between health care providers. However, differences of opinion among professionals and other stakeholders with regard to the optimal maternity care organisation model may complicate the implementation of integrated care. Important factors for a successful implementation of integrated maternity care are an appropriate payment structure and maintenance of the autonomy of professionals. BioMed Central 2016-07-26 /pmc/articles/PMC4962345/ /pubmed/27459967 http://dx.doi.org/10.1186/s12884-016-0975-z Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Perdok, Hilde Jans, Suze Verhoeven, Corine Henneman, Lidewij Wiegers, Therese Mol, Ben Willem Schellevis, François de Jonge, Ank Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands |
title | Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands |
title_full | Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands |
title_fullStr | Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands |
title_full_unstemmed | Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands |
title_short | Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands |
title_sort | opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the netherlands |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962345/ https://www.ncbi.nlm.nih.gov/pubmed/27459967 http://dx.doi.org/10.1186/s12884-016-0975-z |
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