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Multidisciplinary collaborative maternity care in Canada: easier said than done
Wendy E Peterson1, Jennifer M Medves2, Barbara L Davies1
1School of Nursing, Faculty of Health Sciences, University of Ottawa Ottawa ON.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|November 6, 2007
Summary
Care providers in Canada see collaborative maternity care as vital for addressing workforce shortages and enhancing women's care. However, they highlight the need for strong leadership and education to overcome practice barriers.
Area of Science:
- Maternal Health
- Healthcare Policy
- Interprofessional Collaboration
Background:
- Multidisciplinary collaborative maternity care is increasingly recognized as essential in Canada.
- Understanding care provider perspectives is crucial for successful implementation.
Purpose of the Study:
- To explore care provider attitudes towards multidisciplinary collaborative maternity care in Canada.
- To identify factors influencing collaborative maternity care from the viewpoint of national professional association members.
Main Methods:
- Qualitative descriptive study design.
- Semi-structured telephone interviews with key members nominated by national care provider associations.
Main Results:
- Twenty-five participants from six associations (family physicians, obstetricians, midwives, nurses, nurse practitioners, rural physicians) were interviewed.
- Key benefits identified include addressing human resource shortages and improving women's maternity care.
- Concerns were raised regarding woman-centered care, local needs, and continuity.
- Barriers include structural issues (fees, liability) and interdisciplinary rivalry.
- Supported strategies include national leadership and interdisciplinary education.
Conclusions:
- Multidisciplinary collaborative maternity care is deemed necessary for provider availability, access, and women's choices in Canada.
- Addressing structural and relational barriers requires strong leadership and education.
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