Centre for Midwifery, Child and Family Health, Faculty of Nursing, Midwifery and Health, Level 7, 235-253 Jones St, Broadway, University of Technology, Sydney, New South Wales, Australia.
Women Birth. 2012 Dec;25(4):152-8. doi: 10.1016/j.wombi.2011.10.003. Epub 2011 Nov 21.
Publicly-funded homebirth programs in Australia have been developed in the past decade mostly in isolation from each other and with limited published evaluations. There is also distinct lack of publicly available information about the development and characteristics of these programs. We instigated the National Publicly-funded Homebirth Consortium and conducted a preliminary survey of publicly-funded homebirth providers.
To outline the development of publicly-funded homebirth models in Australia.
Providers of publicly-funded homebirth programs in Australia were surveyed using an on-line survey in December 2010. Questions were about their development, use of policy and general operational issues. A descriptive analysis of the quantitative data and content analysis of the qualitative data was undertaken.
In total, 12 programs were identified and 10 contributed data to this paper. The service providers reported extensive multidisciplinary consultation and careful planning during development. There was a lack of consistency in data collection throughout the publicly-funded homebirth programs due to different databases, definitions and the use of different guidelines.
Publicly-funded homebirth services followed different routes during their development, but essentially had safety and collaboration with stakeholders, including women and obstetricians, as central to their process.
The National Publicly-funded Homebirth Consortium has facilitated a sharing of resources, processes of development and a linkage of homebirth services around the country. This analysis has provided information to assist future planning and developments in models of midwifery care. It is important that births of women booked to these programs are clearly identified when their data is incorporated into existing perinatal datasets.
在过去的十年中，澳大利亚的公共资助家庭分娩项目大多是相互独立开发的，发表的评估也很有限。此外，关于这些项目的发展和特点，公众也几乎无法获得相关信息。我们发起了全国公共资助家庭分娩联盟，并对公共资助家庭分娩提供者进行了初步调查。
概述澳大利亚公共资助家庭分娩模式的发展。
我们于 2010 年 12 月使用在线调查对澳大利亚公共资助家庭分娩项目的提供者进行了调查。问题涉及他们的发展、政策的使用以及一般运营问题。对定量数据进行描述性分析，对定性数据进行内容分析。
总共确定了 12 个项目，其中 10 个项目为本论文提供了数据。服务提供者报告说，在开发过程中进行了广泛的多学科咨询和精心规划。由于不同的数据库、定义和不同的指南的使用，在整个公共资助家庭分娩项目中，数据收集缺乏一致性。
公共资助的家庭分娩服务在发展过程中采取了不同的途径，但基本上以安全和与利益相关者（包括妇女和产科医生）的合作为核心。
全国公共资助家庭分娩联盟促进了资源共享、发展过程以及全国各地家庭分娩服务的联系。这项分析提供了信息，以协助未来的规划和助产护理模式的发展。当这些项目的产妇数据被纳入现有的围产期数据集时，明确识别这些产妇非常重要。
