IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v124y2020i11p1239-1244.html
   My bibliography  Save this article

The rising impact of civic activism on health policy: The analysis of the closure of smaller obstetric units in Estonia

Author

Listed:
  • Lubi, Kadi
  • Uibu, Marko
  • Koppel, Katre
  • Mets-Oja, Silja

Abstract

In 2017, the Estonian government performed an administrative reform with the promise to keep vital services available for people. In March 2018, the closure of two smaller obstetrics units (OU) was announced, thereby raising resistance by community members. The aim of the research is to identify public perceptions and information needs during the closure process of smaller maternity units, and examine it in the context of recently performed administrative reform. Data was collected from 226 respondents via a web-based questionnaire. To evaluate the level of information seeking activity for pregnancy- and birth-giving-related information, new aggregated index variables were constructed.

Suggested Citation

  • Lubi, Kadi & Uibu, Marko & Koppel, Katre & Mets-Oja, Silja, 2020. "The rising impact of civic activism on health policy: The analysis of the closure of smaller obstetric units in Estonia," Health Policy, Elsevier, vol. 124(11), pages 1239-1244.
  • Handle: RePEc:eee:hepoli:v:124:y:2020:i:11:p:1239-1244
    DOI: 10.1016/j.healthpol.2020.06.011
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851020301652
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2020.06.011?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Fawsitt, Christopher G. & Bourke, Jane & Greene, Richard A. & McElroy, Brendan & Krucien, Nicolas & Murphy, Rosemary & Lutomski, Jennifer E., 2017. "What do women want? Valuing women’s preferences and estimating demand for alternative models of maternity care using a discrete choice experiment," Health Policy, Elsevier, vol. 121(11), pages 1154-1160.
    2. Benoit, Cecilia & Zadoroznyj, Maria & Hallgrimsdottir, Helga & Treloar, Adrienne & Taylor, Kara, 2010. "Medical dominance and neoliberalisation in maternal care provision: The evidence from Canada and Australia," Social Science & Medicine, Elsevier, vol. 71(3), pages 475-481, August.
    3. Rechel, Bernd & Džakula, Aleksandar & Duran, Antonio & Fattore, Giovanni & Edwards, Nigel & Grignon, Michel & Haas, Marion & Habicht, Triin & Marchildon, Gregory P. & Moreno, Antonio & Ricciardi, Walt, 2016. "Hospitals in rural or remote areas: An exploratory review of policies in 8 high-income countries," Health Policy, Elsevier, vol. 120(7), pages 758-769.
    4. Miteniece, Elina & Pavlova, Milena & Rechel, Bernd & Rezeberga, Dace & Murauskienė, Liubovė & Groot, Wim, 2019. "Barriers to accessing adequate maternal care in Latvia: A mixed-method study among women, providers and decision-makers," Health Policy, Elsevier, vol. 123(1), pages 87-95.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Toth, Federico, 2015. "Sovereigns under Siege. How the medical profession is changing in Italy," Social Science & Medicine, Elsevier, vol. 136, pages 128-134.
    2. Agnieszka Bem & Rafał Siedlecki & Paweł Prędkiewicz & Patrizia Gazzola & Bożena Ryszawska & Paulina Ucieklak-Jeż, 2019. "Hospitals’ Financial Health in Rural and Urban Areas in Poland: Does It Ensure Sustainability?," Sustainability, MDPI, vol. 11(7), pages 1-17, April.
    3. Voicu, Bogdan & Fărcășanu, Dana & Mustață, Mirela & Deliu, Alexandra & Vișinescu, Iulia, 2023. "Using laws, common sense, and statistical approaches to design indicators for ‘medical desertification’. An application on the Romanian case," Social Science & Medicine, Elsevier, vol. 327(C).
    4. Nasrin Tayyari Dehbarez & Morten Raun Mørkbak & Dorte Gyrd-Hansen & Niels Uldbjerg & Rikke Søgaard, 2018. "Women’s Preferences for Birthing Hospital in Denmark: A Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(6), pages 613-624, December.
    5. Polin, Katherine & Hjortland, Maximilien & Maresso, Anna & van Ginneken, Ewout & Busse, Reinhard & Quentin, Wilm, 2021. "“Top-Three” health reforms in 31 high-income countries in 2018 and 2019: an expert informed overview," Health Policy, Elsevier, vol. 125(7), pages 815-832.
    6. Moran, Patrick S. & Daly, Deirdre & Wuytack, Francesca & Carroll, Margaret & Turner, Michael & Normand, Charles & Begley, Cecily, 2020. "Predictors of choice of public and private maternity care among nulliparous women in Ireland, and implications for maternity care and birth experience," Health Policy, Elsevier, vol. 124(5), pages 556-562.
    7. Sofie Theys & Elisa Lust & Maud Heinen & Sofie Verhaeghe & Dimitri Beeckman & Kristof Eeckloo & Simon Malfait & Ann Van Hecke, 2020. "Barriers and enablers for the implementation of a hospital communication tool for patient participation: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1945-1956, June.
    8. Maria Szubert & Malwina Ilowiecka & Jacek Wilczynski & Przemyslaw Bilinski & Cezary Wojtyla, 2020. "Health-Related Behaviors of Pregnant Women Residing in Urban and Rural Areas in Poland," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
    9. Rottemberg, Julieta & Ghasri, Milad & Grzybowska, Hanna & Dockery, Alfred M. & Waller, S. Travis, 2022. "Inequality and access to services for remote populations: An Australian case study," Journal of Transport Geography, Elsevier, vol. 105(C).
    10. Julaine Allan & Anna Thompson, 2023. "Experiences of Young People and Their Carers with a Rural Mobile Mental Health Support Service: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    11. Fangye Du & Jiaoe Wang & Haitao Jin, 2021. "Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    12. Jennifer MacLellan, 2020. "Vulnerability in birth: A negative capability," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3565-3574, September.
    13. Dubas-Jakóbczyk, K. & Albreht, T. & Behmane, D. & Bryndova, L. & Dimova, A. & Džakula, A. & Habicht, T. & Murauskiene, L. & Scîntee, S.G. & Smatana, M. & Velkey, Z. & Quentin, W., 2020. "Hospital reforms in 11 Central and Eastern European countries between 2008 and 2019: a comparative analysis," Health Policy, Elsevier, vol. 124(4), pages 368-379.
    14. van de Bovenkamp, Hester & van Pijkeren, Nienke & Ree, Eline & Aase, Ingunn & Johannessen, Terese & Vollaard, Hans & Wallenburg, Iris & Bal, Roland & Wiig, Siri, 2023. "Creativity at the margins: A cross-country case study on how Dutch and Norwegian peripheries address challenges to quality work in care for older persons," Health Policy, Elsevier, vol. 127(C), pages 66-73.
    15. Tatjana Fischer, 2021. "Understanding the Spatial-Related Abstraction of Public Health Impact Goals and Measures: Illustrated by the Example of the Austrian Action Plan on Women’s Health," Sustainability, MDPI, vol. 13(2), pages 1-19, January.
    16. Seman K. Ousman & Jeanette H. Magnus & Johanne Sundby & Mekdes K. Gebremariam, 2020. "Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach," IJERPH, MDPI, vol. 17(5), pages 1-22, March.
    17. McCabe, Katharine, 2016. "Mothercraft: Birth work and the making of neoliberal mothers," Social Science & Medicine, Elsevier, vol. 162(C), pages 177-184.
    18. Attanasio, Laura B. & Hardeman, Rachel R., 2019. "Declined care and discrimination during the childbirth hospitalization," Social Science & Medicine, Elsevier, vol. 232(C), pages 270-277.
    19. Livio Garattini & Marco Badinella Martini & Michele Zanetti, 2022. "The Italian NHS at regional level: same in theory, different in practice," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(1), pages 1-5, February.
    20. Paddy Gillespie & Sharon Walsh & John Cullinan & Declan Devane, 2019. "An Analysis of Antenatal Care Pathways to Mode of Birth in Ireland," The Economic and Social Review, Economic and Social Studies, vol. 50(2), pages 391-427.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:124:y:2020:i:11:p:1239-1244. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.