Olander Ellinor K, Aquino Maria Raisa Jessica Ryc, Bryar Ros
Centre for Maternal and Child Health Research, School of Health Sciences, City, University of London, London, UK.
Primary Care Unit, Department of Public Health & Primary Care, Strangeways Research Laboratory, University of Cambridge, Cambridge, UK.
J Interprof Care. 2025 Jul-Aug;39(4):583-591. doi: 10.1080/13561820.2020.1712338. Epub 2020 Feb 3.
Maternity policy in England has recommended the establishment of Community Hubs, where health-care professionals who care for women during and after pregnancy are co-located and can provide care collaboratively. The aim this paper is to explore midwives,' health visitors' and postnatal women's experiences and views of co-location of midwifery and health visiting services and collaborative practice. In total 15 midwives, 17 health visitors, and 29 mothers participated in a semi-structured interview, either via phone or face-to-face. Transcripts were analyzed thematically. Participants reported how care is currently provided in numerous settings, with home visits especially well liked. Co-location was perceived to be of benefit, however some mothers were not convinced of its necessity, suggesting that integrated services are more important than co-located services. Health-care professionals recognized that co-location aids but does not automatically improve interprofessional collaboration. These findings highlight the need for careful consideration before implementing co-located maternity services. Community Hubs may be apromising strategy to improve care for women and their families but to provide interprofessional care and collaboration appropriate managerial and organizational support is needed. With this support, midwives and health visitors have the potential to deliver the best care possible for women and their families.
英国的产假政策建议设立社区中心，让在孕期及产后照顾女性的医护人员集中办公，并能够协同提供护理服务。本文旨在探讨助产士、健康访视员以及产后女性对于助产服务与健康访视服务集中办公及协同实践的体验和看法。共有15名助产士、17名健康访视员和29名母亲通过电话或面对面的方式参与了半结构化访谈。对访谈记录进行了主题分析。参与者报告了目前在多种场所提供护理服务的情况，其中家访尤其受到欢迎。人们认为集中办公有益，但一些母亲并不确信其必要性，她们表示综合服务比集中办公的服务更为重要。医护人员认识到集中办公有助于开展工作，但并不能自动改善跨专业协作。这些发现凸显了在实施集中办公的产科服务之前需要仔细考虑。社区中心可能是改善对女性及其家庭护理的一项有前景的策略，但要提供跨专业护理和协作，需要适当的管理和组织支持。有了这种支持，助产士和健康访视员就有可能为女性及其家庭提供尽可能最佳的护理。
