Home birth integration into the health care systems of eleven international jurisdictions
Abstract Background The purpose of this study was to develop assessment criteria that could be used to examine the level of integration of home birth within larger health care systems in developed countries across 11 international jurisdictions. Methods An expert panel developed criteria and a defin...
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crwiley:10.1111/birt.12339 2024-09-15T18:14:24+00:00 Home birth integration into the health care systems of eleven international jurisdictions Comeau, Amanda Hutton, Eileen K. Simioni, Julia Anvari, Ella Bowen, Megan Kruegar, Samantha Darling, Elizabeth K. Canadian Institutes of Health Research 2018 http://dx.doi.org/10.1111/birt.12339 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12339 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12339 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Birth volume 45, issue 3, page 311-321 ISSN 0730-7659 1523-536X journal-article 2018 crwiley https://doi.org/10.1111/birt.12339 2024-07-25T04:19:16Z Abstract Background The purpose of this study was to develop assessment criteria that could be used to examine the level of integration of home birth within larger health care systems in developed countries across 11 international jurisdictions. Methods An expert panel developed criteria and a definition to assess home birth integration within health care systems. We selected jurisdictions based on the publications that were eligible for inclusion in our systematic review and meta‐analysis on planned place of birth. We sent the authors of the included publications a questionnaire about home birth practitioners and practices in their respective health care system at the time of their studies. We searched published peer‐reviewed, non–peer‐reviewed, and gray literature, and the websites of professional bodies to document information about home birth integration in each jurisdiction based on our criteria. Where information was lacking, we contacted experts in the field from the relevant jurisdiction. Results Home birth is well integrated into the health care system in British Columbia (Canada), England, Iceland, the Netherlands, New Zealand, Ontario (Canada), and Washington State ( USA ). Home birth is less well integrated into the health care system in Australia, Japan, Norway, and Sweden. Conclusions This paper is the first to propose criteria for the evaluation of home birth integration within larger maternity care systems. Application of these criteria across 11 international jurisdictions indicates differences in the recognition and training of home birth practitioners, in access to hospital facilities, and in the supplies and equipment available at home births, which give rise to variation in the level of integration across different settings. Standardized criteria for the evaluation of systems integration are essential for interpreting planned home birth outcomes that emerge from contextual differences. Article in Journal/Newspaper Iceland Wiley Online Library Birth 45 3 311 321 |
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Abstract Background The purpose of this study was to develop assessment criteria that could be used to examine the level of integration of home birth within larger health care systems in developed countries across 11 international jurisdictions. Methods An expert panel developed criteria and a definition to assess home birth integration within health care systems. We selected jurisdictions based on the publications that were eligible for inclusion in our systematic review and meta‐analysis on planned place of birth. We sent the authors of the included publications a questionnaire about home birth practitioners and practices in their respective health care system at the time of their studies. We searched published peer‐reviewed, non–peer‐reviewed, and gray literature, and the websites of professional bodies to document information about home birth integration in each jurisdiction based on our criteria. Where information was lacking, we contacted experts in the field from the relevant jurisdiction. Results Home birth is well integrated into the health care system in British Columbia (Canada), England, Iceland, the Netherlands, New Zealand, Ontario (Canada), and Washington State ( USA ). Home birth is less well integrated into the health care system in Australia, Japan, Norway, and Sweden. Conclusions This paper is the first to propose criteria for the evaluation of home birth integration within larger maternity care systems. Application of these criteria across 11 international jurisdictions indicates differences in the recognition and training of home birth practitioners, in access to hospital facilities, and in the supplies and equipment available at home births, which give rise to variation in the level of integration across different settings. Standardized criteria for the evaluation of systems integration are essential for interpreting planned home birth outcomes that emerge from contextual differences. |
author2 |
Canadian Institutes of Health Research |
format |
Article in Journal/Newspaper |
author |
Comeau, Amanda Hutton, Eileen K. Simioni, Julia Anvari, Ella Bowen, Megan Kruegar, Samantha Darling, Elizabeth K. |
spellingShingle |
Comeau, Amanda Hutton, Eileen K. Simioni, Julia Anvari, Ella Bowen, Megan Kruegar, Samantha Darling, Elizabeth K. Home birth integration into the health care systems of eleven international jurisdictions |
author_facet |
Comeau, Amanda Hutton, Eileen K. Simioni, Julia Anvari, Ella Bowen, Megan Kruegar, Samantha Darling, Elizabeth K. |
author_sort |
Comeau, Amanda |
title |
Home birth integration into the health care systems of eleven international jurisdictions |
title_short |
Home birth integration into the health care systems of eleven international jurisdictions |
title_full |
Home birth integration into the health care systems of eleven international jurisdictions |
title_fullStr |
Home birth integration into the health care systems of eleven international jurisdictions |
title_full_unstemmed |
Home birth integration into the health care systems of eleven international jurisdictions |
title_sort |
home birth integration into the health care systems of eleven international jurisdictions |
publisher |
Wiley |
publishDate |
2018 |
url |
http://dx.doi.org/10.1111/birt.12339 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12339 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12339 |
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Iceland |
genre_facet |
Iceland |
op_source |
Birth volume 45, issue 3, page 311-321 ISSN 0730-7659 1523-536X |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/birt.12339 |
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Birth |
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45 |
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3 |
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311 |
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321 |
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1810452160148668416 |