Abstract:
BACKGROUND:In the Netherlands, the obstetric and neonatal healthcare system consists of multiple healthcare organizations. Due to this system, transfers between healthcare professionals are inevitable. Transfers can interrupt the continuity of care, which is an important aspect of care quality. The aim of this study is to examine how healthcare professionals transfer their clients and to understand factors that facilitate or impede continuity of care. METHODS:We conducted 15 semi-structured interviews with community midwives (4), obstetricians/clinical midwives (4), maternity care assistants (4), and youth healthcare nurses (3) between June and September 2016. After discussing the meaning of transfers of care, we introduced a vignette on the care process of a pregnant woman and asked about the methods the professional would use to transfer a client and about factors that facilitate or impede continuity of care. RESULTS:Obstetric and neonatal healthcare professionals mentioned 19 factors that facilitate or impede continuity of care. The facilitating factors were, e.g., usage of protocols and standard formats, transfers in person, being accessible, and multidisciplinary meetings. Impeding factors included, e.g., acute situations, experienced hierarchy, insufficient knowledge of protocols, and privacy concerns. CONCLUSION:Professionals mentioned a broad variety of factors facilitating and impeding continuity of care.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
van Stenus CMV,Poorthuis MB,Boere-Boonekamp MM,Need Adoi
10.1186/s12913-020-4941-0subject
Has Abstractpub_date
2020-02-11 00:00:00pages
108issue
1issn
1472-6963pii
10.1186/s12913-020-4941-0journal_volume
20pub_type
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