What are pregnant women told about models of maternity care in Australia? A retrospective study of women's reports

Stevens, Gabrielle, Thompson, Rachel, Kruske, Sue, Watson, Bernadette, & Miller, Yvette D. (2014) What are pregnant women told about models of maternity care in Australia? A retrospective study of women's reports. Patient Education and Counseling, 97(1), pp. 114-121.

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Abstract

Objective

To describe women’s reports of the model of care options General Practitioners (GPs) discussed with them at the first pregnancy consultation and women’s self-reported role in decisionmaking about model of care.

Methods

Women who had recently given birth responded to survey items about the models of care GPs discussed, their role in final decision-making, and socio-demographic, obstetric history, and early pregnancy characteristics.

Results

The proportion of women with whom each model of care was discussed varied between 8.2% (for private midwifery care with home birth) and 64.4% (GP shared care). Only 7.7% of women reported that all seven models were discussed. Exclusive discussion about private obstetric care and about all public models was common, and women’s health insurance status was the strongest predictor of the presence of discussions about each model. Most women (82.6%) reported active involvement in final decision-making about model of care.

Conclusion

Although most women report involvement in maternity model of care decisions, they remain largely uninformed about the breadth of available model of care options.

Practical implications

Strategies that facilitate women’s access to information on the differentiating features and outcomes for all models of care should be prioritized to better ensure equitable and quality decisions.

Impact and interest:

3 citations in Scopus
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5 citations in Web of Science®

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ID Code: 74560
Item Type: Journal Article
Refereed: Yes
Keywords: Models of care, Patient participation, Decision support, Primary care, Informed decision-making, Maternity care, Information provision
DOI: 10.1016/j.pec.2014.07.010
ISSN: 0738-3991
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2014 Elsevier Ireland Ltd.
Copyright Statement: NOTICE: this is the author’s version of a work that was accepted for publication in Patient Education and Counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Patient Education and Counseling, VOL 97, ISSUE 1 (2014). DOI: 10.1016/j.pec.2014.07.010
Deposited On: 31 Jul 2014 00:04
Last Modified: 04 Nov 2015 10:14

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