Implementing midwifery continuity of care models in NSW regional areas

2018 ◽  
Vol 31 ◽  
pp. S5-S6
Author(s):  
Elysse Prussing ◽  
Graeme Browne ◽  
Eileen Dowse ◽  
Amanda Wilson
Midwifery ◽  
2019 ◽  
Vol 69 ◽  
pp. 110-112 ◽  
Author(s):  
C. Fernandez Turienzo ◽  
Y. Roe ◽  
H. Rayment-Jones ◽  
A. Kennedy ◽  
D. Forster ◽  
...  

Midwifery ◽  
2020 ◽  
Vol 84 ◽  
pp. 102654 ◽  
Author(s):  
Hannah Rayment-Jones ◽  
Sergio A. Silverio ◽  
James Harris ◽  
Angela Harden ◽  
Jane Sandall

2019 ◽  
Vol 30 (4) ◽  
pp. 749-760 ◽  
Author(s):  
Florence D’haenens ◽  
Bart Van Rompaey ◽  
Eva Swinnen ◽  
Tinne Dilles ◽  
Katrien Beeckman

Abstract Background Continuity of care (COC) is essential for high-quality patient care in the perinatal period. Insights in the effects of COC models on patient outcomes are important to direct perinatal healthcare organization. To our knowledge, no previous review has listed the effects of COC on the physical and mental health of mother and child in the postnatal period. Methods A search was conducted in four databases (PubMed, Web of Knowledge, CENTRAL and CINAHL), from 2000 to 2018. Studies were included if: participants were healthy mothers or newborns with a gestational age between 37–42 weeks; they covered the perinatal period and aimed to measure breastfeeding or any outcome related to the maternal/newborn physical or mental health. At least one of the three COC types (management, informational and relationship) was identified in the intervention. The methodological quality was assessed. Results Ten articles were included. COC is mostly present in the identified care models. The effects of COC on the outcomes of mother and child in the postnatal period seem mostly to be positive, although not always significant. The relation between COC and the outcomes can be influenced by confounding factors, like the socio-economic status of the included population. Interventions with COC during pregnancy appear to be more effective for all the studied outcome factors. Conclusion COC as management, relational and informational continuity starting antenatal has the most impact on the postnatal outcomes of mother and child.


2018 ◽  
Vol 31 (5) ◽  
pp. 343-349 ◽  
Author(s):  
Allison M. Cummins ◽  
Christine Catling ◽  
Caroline S.E. Homer

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Desley Williams ◽  
Christine Jackson

The Darwin Midwifery Group Practice (MGP) is a continuity model of care that has been developed in an attempt to overcome these well-recognised barriers to optimal care for pregnant women from remote communities. Before setting up the Darwin MGP, an extensive consultation process was undertaken, including assessments and discussion with providers of other continuity- of-care models.


2019 ◽  
Vol 27 (1) ◽  
pp. 26-36
Author(s):  
Ali Bikmoradi ◽  
Azam Jalalinasab ◽  
Mohsen Salvati ◽  
Mohamad Ahmadpanah ◽  
Farshid Divani ◽  
...  

PurposePatients with chronic obstructive pulmonary disease (COPD) suffer many physical disabilities which cause many problems in their life. These patients really need to have continuity of care based on cooperation between patient, the family and their care givers in order to achieve an integration of care. The purpose of this paper is to assess the impact of continuous care on quality of life of patients with COPD.Design/methodology/approachA before–after quasi-experimental study was carried out with 72 patients with COPD at Beheshti educational hospital of Hamadan University of Medical Sciences. The patients who met inclusion criteria were randomly allocated into an intervention group (n=36) and a control group (n=36). The patients completed the St George’s Respiratory Questionnaire before and after their care. The intervention comprised continuous care with orientation and sensitization sessions (2 weeks), control and evaluation sessions (45 days) for intervention group and with routine care in the control group. Data were analyzed with SPSS, descriptive and inferential statistics were conducted to measure differences between intervention and control group.FindingsContinuity of care improved significantly the quality of life of COPD patients in general, and in the symptoms, activity and impact domains (P=0.001). In contrast, routine care did not improve quality of life for patients in general, and in the symptoms, activity and impact domains (P=0.05).Originality/valueContinuity of care has a positive impact on quality of life for COPD patients. Health care system should utilize continuity of care models as an overall plan for patients with COPD. Moreover, managers of health care system could reduce burden of chronic diseases by employing continuity of care models in planning patient care.


2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Sarah Cooper ◽  
Elham Rahme ◽  
Sze Man Tse ◽  
Roland Grad ◽  
Marc Dorais ◽  
...  

Abstract Background Having a primary care provider and a continuous relationship may be important for asthma outcomes. In this study, we sought to determine the association between 1) having a usual provider of primary care (UPC) and asthma-related emergency department (ED) visits and hospitalization in Québec children with asthma and 2) UPC continuity of care and asthma outcomes. Methods Population-based retrospective cohort study using Québec provincial health administrative data, including children 2-16 years old with asthma (N = 39, 341). Exposures and outcomes were measured from 2010-2011 and 2012-2013, respectively. Primary exposure was UPC stratified by the main primary care models in Quebec (team-based Family Medicine Groups, family physicians not in Family Medicine Groups, pediatricians, or no assigned UPC). For those with an assigned UPC the secondary exposure was continuity of care, measured by the UPC Index (high, medium, low). Four multivariate logistic regression models examined associations between exposures and outcomes (ED visits and hospitalizations). Results Overall, 17.4% of children had no assigned UPC. Compared to no assigned UPC, having a UPC was associated with decreased asthma-related ED visits (pediatrician Odds Ratio (OR): 0.80, 95% Confidence Interval (CI) [0.73, 0.88]; Family Medicine Groups OR: 0.84, 95% CI [0.75,0.93]; non-Family Medicine Groups OR: 0.92, 95% CI [0.83, 1.02]) and hospital admissions (pediatrician OR: 0.66, 95% CI [0.58, 0.75]; Family Medicine Groups OR: 0.82, 95% CI [0.72, 0.93]; non-Family Medicine Groups OR: 0.76, 95% CI [0.67, 0.87]). Children followed by a pediatrician were more likely to have high continuity of care. Continuity of care was not significantly associated with asthma-related ED visits. Compared to low continuity, medium and high continuity of care decreased asthma-related hospital admissions, but none of these associations were significant. Conclusion Having a UPC was associated with reduced asthma-related ED visits and hospital admissions. However, continuity of care was not significantly associated with outcomes. The current study provides ongoing evidence for the importance of primary care in children with asthma.


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