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

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  • 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
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    References listed on IDEAS

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    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. 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.
    4. 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.
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