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Perinatal care regionalization and acceptability by professionals in France
S David1, C Durif-Bruckert, J P Durif-Varembont
1Service de Biostatistiques des Hospices Civils de Lyon, 162, avenue Lacassagne, 69003 Lyon. sandra.david@chu-lyon.fr
Revue D'Epidemiologie Et De Sante Publique
|December 16, 2005
Summary
Perinatal care regionalization aims to improve outcomes for newborns but faces challenges in professional acceptance. Identifying objections from various medical groups is key to enhancing network organization and effectiveness.
Area of Science:
- Perinatal care
- Public health policy
- Healthcare management
Background:
- Regionalization of perinatal care has been recommended for two decades to improve outcomes for low birth weight newborns.
- Effective perinatal regionalization hinges on the acceptance of healthcare professionals.
Purpose of the Study:
- To identify healthcare professionals' expectations and objections regarding perinatal care regionalization.
- To compare these views across different professional groups.
Main Methods:
- A two-stage study involving a qualitative psychosociological assessment and a quantitative epidemiological survey.
- A questionnaire explored professionals' views on regulatory, care level, competence, practice, relationship, organizational, financial, and legal aspects.
Main Results:
- The study achieved an 80% response rate in the epidemiological phase.
- Identified significant poorer acceptability of regionalization among medical specialists (anesthetists, obstetricians, midwives) and private practitioners compared to neonatologists and hospital-based professionals.
- Detailed network setup conditions influencing its functioning.
Conclusions:
- Clearly identifying professional objections and expectations can facilitate improvements in the organization of perinatal networks.