Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care

Abstract Background In the past decade, acute obstetric care (AOC) has become centralised in many high-income countries. In this qualitative study, we explored how stakeholders in maternity care perceived and experienced adaptations in the organisation of maternity care in areas in the Netherlands w...

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Autores principales:	Lauri M.M. van den Berg, Bernardus Benjamin Maria Gordon, Sophia M. Kleefstra, Lucie Martijn, Jeroen van Dillen, Corine J. Verhoeven, Ank de Jonge
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Maternity care Acute obstetric care Centralisation Organisation of maternity care Stakeholder involvement Change management Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3f98d41b3538482f90a727acc7473323
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spelling	oai:doaj.org-article:3f98d41b3538482f90a727acc74733232021-11-14T12:09:44ZCentralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care10.1186/s12913-021-07269-41472-6963https://doaj.org/article/3f98d41b3538482f90a727acc74733232021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07269-4https://doaj.org/toc/1472-6963Abstract Background In the past decade, acute obstetric care (AOC) has become centralised in many high-income countries. In this qualitative study, we explored how stakeholders in maternity care perceived and experienced adaptations in the organisation of maternity care in areas in the Netherlands where AOC was centralised. Methods A heterogenic group of fifteen maternity care stakeholders, including patients, were purposively selected for semi-structured interviews. An inductive thematic analysis was used. Results Three main themes were identified: (1) lack of involvement. (2) the process of making adaptations in the organisation of maternity care. (3) maintaining quality of care. Stakeholders in this study were highly motivated to maintain a high quality of maternity care and therefore made adaptations at several organisational levels. However, they felt a lack of involvement during the planning of centralisation of AOC and highlighted the importance of a collaborative process when making adaptations after centralisation of AOC. Conclusions Regions with AOC centralisation plans should invest time and money in change management, encourage early involvement of all maternity care stakeholders and acknowledge centralisation of AOC as a professional life event with associated emotions, including a feeling of unsafety.Lauri M.M. van den BergBernardus Benjamin Maria GordonSophia M. KleefstraLucie MartijnJeroen van DillenCorine J. VerhoevenAnk de JongeBMCarticleMaternity careAcute obstetric careCentralisationOrganisation of maternity careStakeholder involvementChange managementPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Maternity care Acute obstetric care Centralisation Organisation of maternity care Stakeholder involvement Change management Public aspects of medicine RA1-1270
spellingShingle	Maternity care Acute obstetric care Centralisation Organisation of maternity care Stakeholder involvement Change management Public aspects of medicine RA1-1270 Lauri M.M. van den Berg Bernardus Benjamin Maria Gordon Sophia M. Kleefstra Lucie Martijn Jeroen van Dillen Corine J. Verhoeven Ank de Jonge Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
description	Abstract Background In the past decade, acute obstetric care (AOC) has become centralised in many high-income countries. In this qualitative study, we explored how stakeholders in maternity care perceived and experienced adaptations in the organisation of maternity care in areas in the Netherlands where AOC was centralised. Methods A heterogenic group of fifteen maternity care stakeholders, including patients, were purposively selected for semi-structured interviews. An inductive thematic analysis was used. Results Three main themes were identified: (1) lack of involvement. (2) the process of making adaptations in the organisation of maternity care. (3) maintaining quality of care. Stakeholders in this study were highly motivated to maintain a high quality of maternity care and therefore made adaptations at several organisational levels. However, they felt a lack of involvement during the planning of centralisation of AOC and highlighted the importance of a collaborative process when making adaptations after centralisation of AOC. Conclusions Regions with AOC centralisation plans should invest time and money in change management, encourage early involvement of all maternity care stakeholders and acknowledge centralisation of AOC as a professional life event with associated emotions, including a feeling of unsafety.
format	article
author	Lauri M.M. van den Berg Bernardus Benjamin Maria Gordon Sophia M. Kleefstra Lucie Martijn Jeroen van Dillen Corine J. Verhoeven Ank de Jonge
author_facet	Lauri M.M. van den Berg Bernardus Benjamin Maria Gordon Sophia M. Kleefstra Lucie Martijn Jeroen van Dillen Corine J. Verhoeven Ank de Jonge
author_sort	Lauri M.M. van den Berg
title	Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
title_short	Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
title_full	Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
title_fullStr	Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
title_full_unstemmed	Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
title_sort	centralisation of acute obstetric care in the netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3f98d41b3538482f90a727acc7473323
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Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care

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