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"Someone's rooting for you": Continuity, advocacy and street-level bureaucracy in UK maternal healthcare

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  • Finlay, Susanna
  • Sandall, Jane

Abstract

Continuity and advocacy are widely held to be important elements in maternal healthcare, yet they are often lacking from the care women receive. In order to understand this disparity, we draw upon interviews and ethnographic observational findings from The One-to-One Caseload Project, a study exploring the impacts of a caseload model of maternity care within an urban National Health Service provider in Britain. Drawing on Lipsky's (1980) and Prottas's (1979) theories of street-level bureaucracy, this paper attempts to understand how midwives, working on the frontline within caseload and standard care models, manage the competing demands of delivering a personalised service within a bureaucratic organisation. The caseload care model serves as a case study for how a client-centred model of working can assist street-level bureaucrats to manage the administrative pressures of public service organisations and provide their clients with a personalised, responsive service. Nevertheless, despite such benefits, client-centred models of working may have unintended consequences for both health carers and healthcare systems.

Suggested Citation

  • Finlay, Susanna & Sandall, Jane, 2009. ""Someone's rooting for you": Continuity, advocacy and street-level bureaucracy in UK maternal healthcare," Social Science & Medicine, Elsevier, vol. 69(8), pages 1228-1235, October.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:8:p:1228-1235
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    References listed on IDEAS

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    1. Goold, Susan Dorr & Klipp, Glenn, 2002. "Managed care members talk about trust," Social Science & Medicine, Elsevier, vol. 54(6), pages 879-888, March.
    2. Woodward, Christel A. & Abelson, Julia & Tedford, Sara & Hutchison, Brian, 2004. "What is important to continuity in home care?: Perspectives of key stakeholders," Social Science & Medicine, Elsevier, vol. 58(1), pages 177-192, January.
    3. Mechanic, David & Meyer, Sharon, 2000. "Concepts of trust among patients with serious illness," Social Science & Medicine, Elsevier, vol. 51(5), pages 657-668, September.
    4. Walsh, Denis, 2006. "Subverting the assembly-line: Childbirth in a free-standing birth centre," Social Science & Medicine, Elsevier, vol. 62(6), pages 1330-1340, March.
    5. Walker, Liz & Gilson, Lucy, 2004. "'We are bitter but we are satisfied': nurses as street-level bureaucrats in South Africa," Social Science & Medicine, Elsevier, vol. 59(6), pages 1251-1261, September.
    6. Foley, Ronan & Platzer, Hazel, 2007. "Place and provision: Mapping mental health advocacy services in London," Social Science & Medicine, Elsevier, vol. 64(3), pages 617-632, February.
    7. Armstrong, David, 1985. "Space and time in British general practice," Social Science & Medicine, Elsevier, vol. 20(7), pages 659-666, January.
    8. McCourt, Christine, 2006. "Supporting choice and control? Communication and interaction between midwives and women at the antenatal booking visit," Social Science & Medicine, Elsevier, vol. 62(6), pages 1307-1318, March.
    9. Bramesfeld, Anke & Klippel, Ulrike & Seidel, Gabriele & Schwartz, Friedrich W. & Dierks, Marie-Luise, 2007. "How do patients expect the mental health service system to act? Testing the WHO responsiveness concept for its appropriateness in mental health care," Social Science & Medicine, Elsevier, vol. 65(5), pages 880-889, September.
    10. McLean, Athena, 1995. "Empowerment and the psychiatric consumer/ex-patient movement in the United States: Contradictions, crisis and change," Social Science & Medicine, Elsevier, vol. 40(8), pages 1053-1071, April.
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