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Maternity services for rural and remote Australia: barriers to operationalising national policy

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  • Longman, Jo
  • Kornelsen, Jude
  • Pilcher, Jen
  • Kildea, Sue
  • Kruske, Sue
  • Grzybowski, Stefan
  • Robin, Sarah
  • Rolfe, Margaret
  • Donoghue, Deborah
  • Morgan, Geoffrey G.
  • Barclay, Lesley

Abstract

In Australia, many small birthing units have closed in recent years, correlating with adverse outcomes including a rise in the number of babies born before arrival to hospital. Concurrently, a raft of national policy and planning documents promote continued provision of rural and remote maternity services, articulating a strategic intent for services to provide responsive, woman-centred care as close as possible to a woman’s home. The aims of this paper are to contribute to an explanation of why this strategic intent is not realised, and to investigate the utility of an evidence based planning tool (the Toolkit) to assist with planning services to realise this intent.

Suggested Citation

  • Longman, Jo & Kornelsen, Jude & Pilcher, Jen & Kildea, Sue & Kruske, Sue & Grzybowski, Stefan & Robin, Sarah & Rolfe, Margaret & Donoghue, Deborah & Morgan, Geoffrey G. & Barclay, Lesley, 2017. "Maternity services for rural and remote Australia: barriers to operationalising national policy," Health Policy, Elsevier, vol. 121(11), pages 1161-1168.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:11:p:1161-1168
    DOI: 10.1016/j.healthpol.2017.09.012
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    References listed on IDEAS

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    1. Grzybowski, Stefan & Kornelsen, Jude & Schuurman, Nadine, 2009. "Planning the optimal level of local maternity service for small rural communities: A systems study in British Columbia," Health Policy, Elsevier, vol. 92(2-3), pages 149-157, October.
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    Cited by:

    1. HakemZadeh, Farimah & Sayin, Firat K. & Neiterman, Elena & Zeytinoglu, Isik Urla & Geraci, Johanna & Plenderleith, Jennifer & Lobb, Derek, 2021. "Does an alignment of employment policies and individual preferences affect intention to stay in the profession? Evidence from Canadian Midwives," Health Policy, Elsevier, vol. 125(4), pages 450-458.

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