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Three perspectives on the co-location of maternity services: qualitative interviews with mothers, midwives and health visitors

Olander, E. K. ORCID: 0000-0001-7792-9895, Aquino, M. and Bryar, R. (2020). Three perspectives on the co-location of maternity services: qualitative interviews with mothers, midwives and health visitors. Journal of Interprofessional Care, doi: 10.1080/13561820.2020.1712338

Abstract

Maternity policy in England has recommended the establishment of Community Hubs, where health-care professionals who care for women during and after pregnancy are co-located and can provide care collaboratively. The aim this paper is to explore midwives,’ health visitors’ and postnatal women’s experiences and views of co-location of midwifery and health visiting services and collaborative practice. In total 15 midwives, 17 health visitors, and 29 mothers participated in a semi-structured interview, either via phone or face-to-face. Transcripts were analyzed thematically. Participants reported how care is currently provided in numerous settings, with home visits especially well liked. Co-location was perceived to be of benefit, however some mothers were not convinced of its necessity, suggesting that integrated services are more important than co-located services. Health-care professionals recognized that co-location aids but does not automatically improve interprofessional collaboration. These findings highlight the need for careful consideration before implementing co-located maternity services. Community Hubs may be apromising strategy to improve care for women and their families but to provide interprofessional care and collaboration appropriate managerial and organizational support is needed. With this support, midwives and health visitors have the potential to deliver the best care possible for women and their families.

Publication Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Interprofessional Care on 3 Feb 2020, available online: http://www.tandfonline.com/10.1080/13561820.2020.1712338
Publisher Keywords: Health visiting, implementation, interviews, midwifery, policy, postnatal women
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics
Departments: School of Health Sciences > Healthcare Services Research & Management
Date Deposited: 03 Mar 2020 08:17
URI: https://openaccess.city.ac.uk/id/eprint/23832
[img] Text - Accepted Version
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