Does the organizational model of the maternity health clinic have an influence on women’s and their partners’ experiences A service evaluation survey in Southwest Finland.docVIP
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Tuominenetal.BMCPregnancyandChildbirth2012,12:96
/1471-2393/12/96
RESEARCH ARTICLE
OpenAccess
Doestheorganizationalmodelofthematernity
healthclinichaveaninfluenceonwomen’ sand
theirpartners’experiences?Aserviceevaluation
surveyinSouthwestFinland
MiiaTuominen1*?,AnneKaljonen2?,PiaAhonen3?andP?iviRautava4?
Abstract
Background:Inhigh-incomecountries,greatdisparitiesexistintheorganizationalcharacteristicsofmaternity
healthservices.InFinland,primarymaternitycareisprovidedatcommunalmaternityhealthclinics(MHC).Atthese
MHCstherearepublichealthnursesandgeneralpractitionersprovidingcare.ThestructureofservicesinMHCs
varieslargely.MHCsaremaintainedindependentlyormergedwithotherprimaryhealthcaresectors.Awidelyused
organizationalmodelofservicesisacombinedmaternityandchildhealthclinic(MHCCHC)wherethesame
publichealthnursetakescareofthefamilyfrompregnancyuntilthechildisatschoolage.Theaimofthisstudy
wastodeterminehoworganizationalmodel,MHCindependentorcombinedMHCCHC,influenceonwomen’s
andtheirpartners’serviceexperiences.
Methods:Acomparative,cross-sectionalserviceevaluationsurveywasused.Women(N=995)andtheirpartners
(N=789)wererecruitedfromtheMHCsintheareaofTurkuUniversityHospital.Fourmonthspostpartum,the
participantswereaskedtoevaluatethecontentandamountoftheMHCservicesviaapostalquestionnaire.
ComparisonsweremadebetweentheclientsoftheseparateMHCsandtheMHCscombinedtothechildhealth
clinics.
Results:WomenwhohadusedthecombinedMHCCHCsgenerallyevaluatedservicesmorepositivelythan
womenwhohadusedtheseparateMHCs.MHC’smodelwasrelatedtoseveralaspectsoftheservicewhichwere
evaluated“good”(thecontentoftheservice)or“much”(theamountoftheservice).Significantdifferences
accumulatedfavoringthecombinedMHCCHCs’model.Twelveaspectsoftheservicewererankedmoreoftenas
“good”or“much”bytheparentswhohadusedthecombinedMHCCHC,onlygroupactivitiesregardingdelivery
wereevaluatedbetterbywomenwhohadusedtheseparateMHCs.
Conclusions:Basedonthewomen’sandpartners’experiencesanorganizationalmodelofthecombinedMHC
CHCwhere
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