Cargando…

Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands

An effective system of risk selection is a global necessity to ensure women and children receive appropriate care at the right time and at the right place. To gain more insight into the existing models of risk selection (MRS), we explored the distribution of different MRS across regions in The Nethe...

Descripción completa

Detalles Bibliográficos
Autores principales: Goodarzi, Bahareh, Verhoeven, Corine, Berks, Durk, de Vries, Eline F., de Jonge, Ank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834427/
https://www.ncbi.nlm.nih.gov/pubmed/35162069
http://dx.doi.org/10.3390/ijerph19031046
_version_ 1784649184174931968
author Goodarzi, Bahareh
Verhoeven, Corine
Berks, Durk
de Vries, Eline F.
de Jonge, Ank
author_facet Goodarzi, Bahareh
Verhoeven, Corine
Berks, Durk
de Vries, Eline F.
de Jonge, Ank
author_sort Goodarzi, Bahareh
collection PubMed
description An effective system of risk selection is a global necessity to ensure women and children receive appropriate care at the right time and at the right place. To gain more insight into the existing models of risk selection (MRS), we explored the distribution of different MRS across regions in The Netherlands, and examined the relation between MRS and primary care midwives’ and obstetricians’ satisfaction with different MRS. We conducted a nationwide survey amongst all primary midwifery care practices and obstetrics departments. The questionnaire was completed by 312 (55%) primary midwifery care practices and 53 (72%) obstetrics departments. We identified three MRS, which were distributed differently across regions: (1) primary care midwives assess risk and initiate a consultation or transfer of care without discussing this first with the obstetrician, (2) primary care midwives assess risk and make decisions about consultation or transfer of care collaboratively with obstetricians, and (3) models with other characteristics. Across these MRS, variations exist in several aspects, including the routine involvement of the obstetrician in the care of healthy pregnant women. We found no significant difference between MRS and professionals’ level of satisfaction. An evidence- and value-based approach is recommended in the pursuit of the optimal organization of risk selection. This requires further research into associations between MRS and maternal and perinatal outcomes, professional payment methods, resource allocation, and the experiences of women and care professionals.
format Online
Article
Text
id pubmed-8834427
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-88344272022-02-12 Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands Goodarzi, Bahareh Verhoeven, Corine Berks, Durk de Vries, Eline F. de Jonge, Ank Int J Environ Res Public Health Article An effective system of risk selection is a global necessity to ensure women and children receive appropriate care at the right time and at the right place. To gain more insight into the existing models of risk selection (MRS), we explored the distribution of different MRS across regions in The Netherlands, and examined the relation between MRS and primary care midwives’ and obstetricians’ satisfaction with different MRS. We conducted a nationwide survey amongst all primary midwifery care practices and obstetrics departments. The questionnaire was completed by 312 (55%) primary midwifery care practices and 53 (72%) obstetrics departments. We identified three MRS, which were distributed differently across regions: (1) primary care midwives assess risk and initiate a consultation or transfer of care without discussing this first with the obstetrician, (2) primary care midwives assess risk and make decisions about consultation or transfer of care collaboratively with obstetricians, and (3) models with other characteristics. Across these MRS, variations exist in several aspects, including the routine involvement of the obstetrician in the care of healthy pregnant women. We found no significant difference between MRS and professionals’ level of satisfaction. An evidence- and value-based approach is recommended in the pursuit of the optimal organization of risk selection. This requires further research into associations between MRS and maternal and perinatal outcomes, professional payment methods, resource allocation, and the experiences of women and care professionals. MDPI 2022-01-18 /pmc/articles/PMC8834427/ /pubmed/35162069 http://dx.doi.org/10.3390/ijerph19031046 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Goodarzi, Bahareh
Verhoeven, Corine
Berks, Durk
de Vries, Eline F.
de Jonge, Ank
Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands
title Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands
title_full Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands
title_fullStr Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands
title_full_unstemmed Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands
title_short Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands
title_sort models of risk selection in maternal and newborn care: exploring the organization of tasks and responsibilities of primary care midwives and obstetricians in risk selection across the netherlands
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834427/
https://www.ncbi.nlm.nih.gov/pubmed/35162069
http://dx.doi.org/10.3390/ijerph19031046
work_keys_str_mv AT goodarzibahareh modelsofriskselectioninmaternalandnewborncareexploringtheorganizationoftasksandresponsibilitiesofprimarycaremidwivesandobstetriciansinriskselectionacrossthenetherlands
AT verhoevencorine modelsofriskselectioninmaternalandnewborncareexploringtheorganizationoftasksandresponsibilitiesofprimarycaremidwivesandobstetriciansinriskselectionacrossthenetherlands
AT berksdurk modelsofriskselectioninmaternalandnewborncareexploringtheorganizationoftasksandresponsibilitiesofprimarycaremidwivesandobstetriciansinriskselectionacrossthenetherlands
AT devrieselinef modelsofriskselectioninmaternalandnewborncareexploringtheorganizationoftasksandresponsibilitiesofprimarycaremidwivesandobstetriciansinriskselectionacrossthenetherlands
AT dejongeank modelsofriskselectioninmaternalandnewborncareexploringtheorganizationoftasksandresponsibilitiesofprimarycaremidwivesandobstetriciansinriskselectionacrossthenetherlands