原创力文档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孕妇健康诊所的组织模型有影响妇女和伴侣的经验服务评估调查芬兰西南部.pdfVIP
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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孕妇健康诊所的组织模型有影响妇女和伴侣的经验服务评估调查芬兰西南部
Tuominen et al. BMC Pregnancy and Childbirth 2012, 12:96
/1471-2393/12/96
RESEARCH ARTICLE Open Access
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
Miia Tuominen1*†, Anne Kaljonen2†, Pia Ahonen3† and Päivi Rautava4†
Abstract
Background: In high-income countries, great disparities exist in the organizational characteristics of maternity
health services. In Finland, primary maternity care is provided at communal maternity health clinics (MHC). At these
MHCs there are public health nurses and general practitioners providing care. The structure of services in MHCs
varies largely. MHCs are maintained independently or merged with other primary health care sectors. A widely used
organizational model of services is a combined maternity and child health clinic (MHC CHC) where the same
public health nurse takes care of the family from pregnancy until the child is at school age. The aim of this study
was to determine how organizational model, MHC independent or combined MHC CHC, influence on women’s
and their partners’ service experiences.
Methods: A comparative, cross-sectional service evaluation survey was used. Women (N = 995) and their partners
(N = 789) were recruited from the MHCs in the area of Turku University Hospital. Four months postpartum, the
participants were asked to evaluate the content and amount of the MHC services via a postal questionnaire.
Comparisons were made between the clients of the separate MHCs and the MHCs combined to the child health
clinics.
Results: Women who had used the combined MHC CHCs generally evaluated services more positively than
women who had used the separate MHCs. MHC’s model was related to several aspects of the service which were
evaluated “go
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