Provider engagement and choice in the Lead Maternity Carer System: Evidence from Growing Up in New Zealand
Background New Zealand (NZ) has a unique choice‐based model of maternity care. Aims To examine how engagement in antenatal care and choice of Lead Maternity Care provider (LMC) vary with maternal demographics. Materials and Methods Our sample consisted of 6822 women enrolled during 2009 and 2010 int...
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| Veröffentlicht in: | Australian & New Zealand journal of obstetrics & gynaecology 2015-08, Vol.55 (4), p.323-330 |
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| container_title | Australian & New Zealand journal of obstetrics & gynaecology |
| container_volume | 55 |
| creator | Bartholomew, Karen Morton, Susan M.B. Atatoa Carr, Polly E. Bandara, Dinusha K. Grant, Cameron C. |
| description | Background
New Zealand (NZ) has a unique choice‐based model of maternity care.
Aims
To examine how engagement in antenatal care and choice of Lead Maternity Care provider (LMC) vary with maternal demographics.
Materials and Methods
Our sample consisted of 6822 women enrolled during 2009 and 2010 into a longitudinal cohort study Growing Up in New Zealand. We asked if women had engaged a LMC, the type of LMC and whether they had a choice of LMC. Associations with maternal ethnicity, age, parity and education and household deprivation were determined.
Results
Ninety‐eight per cent of women had engaged a LMC provider. Twelve per cent reported not experiencing choice and 11% not receiving their first choice of LMC provider. The reported LMC provider type was independent midwife (66%), hospital midwife (15%), private obstetrician (8%), shared midwife and general practitioner (GP) (5%) and GP‐only care ( |
| doi_str_mv | 10.1111/ajo.12319 |
| format | Article |
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New Zealand (NZ) has a unique choice‐based model of maternity care.
Aims
To examine how engagement in antenatal care and choice of Lead Maternity Care provider (LMC) vary with maternal demographics.
Materials and Methods
Our sample consisted of 6822 women enrolled during 2009 and 2010 into a longitudinal cohort study Growing Up in New Zealand. We asked if women had engaged a LMC, the type of LMC and whether they had a choice of LMC. Associations with maternal ethnicity, age, parity and education and household deprivation were determined.
Results
Ninety‐eight per cent of women had engaged a LMC provider. Twelve per cent reported not experiencing choice and 11% not receiving their first choice of LMC provider. The reported LMC provider type was independent midwife (66%), hospital midwife (15%), private obstetrician (8%), shared midwife and general practitioner (GP) (5%) and GP‐only care (<1%). LMC provider type and choice varied with maternal demographics. Women not engaging a LMC were more likely to be non‐European, <20 years or >40 years old, with poorer educational attainment, or living in more deprived households. Women not experiencing choice of provider were more likely to be non‐European, <20 years old, or living in more deprived households.
Conclusions
The current unequal distribution of provider engagement and choice in NZ has relevance for a number of specific maternity policies, including policies seeking to improve engagement in antenatal care. The study findings have international relevance as an example of the impact of choice policies on equity.</description><identifier>ISSN: 0004-8666</identifier><identifier>EISSN: 1479-828X</identifier><identifier>DOI: 10.1111/ajo.12319</identifier><identifier>PMID: 26172320</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; delivery of health care ; Female ; Health Services Accessibility - statistics & numerical data ; Healthcare Disparities - statistics & numerical data ; Humans ; Longitudinal Studies ; maternal health services ; Midwifery ; New Zealand ; Patient Acceptance of Health Care - statistics & numerical data ; Patient Participation - statistics & numerical data ; Pregnancy ; prenatal care ; Prenatal Care - statistics & numerical data ; Prenatal Care - utilization</subject><ispartof>Australian & New Zealand journal of obstetrics & gynaecology, 2015-08, Vol.55 (4), p.323-330</ispartof><rights>2015 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists</rights><rights>2015 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3969-14888e860e8ff524690cb3b09320066a2993fc2034c1ff66205eefcd19710af53</citedby><cites>FETCH-LOGICAL-c3969-14888e860e8ff524690cb3b09320066a2993fc2034c1ff66205eefcd19710af53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajo.12319$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajo.12319$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26172320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bartholomew, Karen</creatorcontrib><creatorcontrib>Morton, Susan M.B.</creatorcontrib><creatorcontrib>Atatoa Carr, Polly E.</creatorcontrib><creatorcontrib>Bandara, Dinusha K.</creatorcontrib><creatorcontrib>Grant, Cameron C.</creatorcontrib><title>Provider engagement and choice in the Lead Maternity Carer System: Evidence from Growing Up in New Zealand</title><title>Australian & New Zealand journal of obstetrics & gynaecology</title><addtitle>Aust N Z J Obstet Gynaecol</addtitle><description>Background
New Zealand (NZ) has a unique choice‐based model of maternity care.
Aims
To examine how engagement in antenatal care and choice of Lead Maternity Care provider (LMC) vary with maternal demographics.
Materials and Methods
Our sample consisted of 6822 women enrolled during 2009 and 2010 into a longitudinal cohort study Growing Up in New Zealand. We asked if women had engaged a LMC, the type of LMC and whether they had a choice of LMC. Associations with maternal ethnicity, age, parity and education and household deprivation were determined.
Results
Ninety‐eight per cent of women had engaged a LMC provider. Twelve per cent reported not experiencing choice and 11% not receiving their first choice of LMC provider. The reported LMC provider type was independent midwife (66%), hospital midwife (15%), private obstetrician (8%), shared midwife and general practitioner (GP) (5%) and GP‐only care (<1%). LMC provider type and choice varied with maternal demographics. Women not engaging a LMC were more likely to be non‐European, <20 years or >40 years old, with poorer educational attainment, or living in more deprived households. Women not experiencing choice of provider were more likely to be non‐European, <20 years old, or living in more deprived households.
Conclusions
The current unequal distribution of provider engagement and choice in NZ has relevance for a number of specific maternity policies, including policies seeking to improve engagement in antenatal care. The study findings have international relevance as an example of the impact of choice policies on equity.</description><subject>Adult</subject><subject>delivery of health care</subject><subject>Female</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Healthcare Disparities - statistics & numerical data</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>maternal health services</subject><subject>Midwifery</subject><subject>New Zealand</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patient Participation - statistics & numerical data</subject><subject>Pregnancy</subject><subject>prenatal care</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Prenatal Care - utilization</subject><issn>0004-8666</issn><issn>1479-828X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1vEzEQhi0EoqFw4A8gH-Gwrcfe9drcqlACKP2QQgFxsRzvOHXI7gZ7Q8i_xyFtb4i5zOV5H43mJeQlsBPIc2qX_QlwAfoRGUFZ60Jx9e0xGTHGykJJKY_Is5SWjIGuoHxKjriEmgvORmR5HftfocFIsVvYBbbYDdR2DXW3fXBIQ0eHW6RTtA29sAPGLgw7OrYxJ2a7NGD7lp7vBV2GfexbOon9NnQLerPehy9xS7-jXWXlc_LE21XCF3f7mNy8P_88_lBMryYfx2fTwgktdQGlUgqVZKi8r3gpNXNzMWc638uktFxr4R1nonTgvZScVYjeNaBrYNZX4pi8PnjXsf-5wTSYNiSHq3wD9ptkQEFVM6g1_z-aOSFkrSCjbw6oi31KEb1Zx9DauDPAzL4Fk1swf1vI7Ks77WbeYvNA3r89A6cHYBtWuPu3yZx9urpXFodEyD___ZCw8YeRtagr8_VyYmbX777IGczMhfgDJc6eag</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Bartholomew, Karen</creator><creator>Morton, Susan M.B.</creator><creator>Atatoa Carr, Polly E.</creator><creator>Bandara, Dinusha K.</creator><creator>Grant, Cameron C.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>201508</creationdate><title>Provider engagement and choice in the Lead Maternity Carer System: Evidence from Growing Up in New Zealand</title><author>Bartholomew, Karen ; Morton, Susan M.B. ; Atatoa Carr, Polly E. ; Bandara, Dinusha K. ; Grant, Cameron C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3969-14888e860e8ff524690cb3b09320066a2993fc2034c1ff66205eefcd19710af53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>delivery of health care</topic><topic>Female</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Healthcare Disparities - statistics & numerical data</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>maternal health services</topic><topic>Midwifery</topic><topic>New Zealand</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Patient Participation - statistics & numerical data</topic><topic>Pregnancy</topic><topic>prenatal care</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Prenatal Care - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bartholomew, Karen</creatorcontrib><creatorcontrib>Morton, Susan M.B.</creatorcontrib><creatorcontrib>Atatoa Carr, Polly E.</creatorcontrib><creatorcontrib>Bandara, Dinusha K.</creatorcontrib><creatorcontrib>Grant, Cameron C.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bartholomew, Karen</au><au>Morton, Susan M.B.</au><au>Atatoa Carr, Polly E.</au><au>Bandara, Dinusha K.</au><au>Grant, Cameron C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Provider engagement and choice in the Lead Maternity Carer System: Evidence from Growing Up in New Zealand</atitle><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle><addtitle>Aust N Z J Obstet Gynaecol</addtitle><date>2015-08</date><risdate>2015</risdate><volume>55</volume><issue>4</issue><spage>323</spage><epage>330</epage><pages>323-330</pages><issn>0004-8666</issn><eissn>1479-828X</eissn><abstract>Background
New Zealand (NZ) has a unique choice‐based model of maternity care.
Aims
To examine how engagement in antenatal care and choice of Lead Maternity Care provider (LMC) vary with maternal demographics.
Materials and Methods
Our sample consisted of 6822 women enrolled during 2009 and 2010 into a longitudinal cohort study Growing Up in New Zealand. We asked if women had engaged a LMC, the type of LMC and whether they had a choice of LMC. Associations with maternal ethnicity, age, parity and education and household deprivation were determined.
Results
Ninety‐eight per cent of women had engaged a LMC provider. Twelve per cent reported not experiencing choice and 11% not receiving their first choice of LMC provider. The reported LMC provider type was independent midwife (66%), hospital midwife (15%), private obstetrician (8%), shared midwife and general practitioner (GP) (5%) and GP‐only care (<1%). LMC provider type and choice varied with maternal demographics. Women not engaging a LMC were more likely to be non‐European, <20 years or >40 years old, with poorer educational attainment, or living in more deprived households. Women not experiencing choice of provider were more likely to be non‐European, <20 years old, or living in more deprived households.
Conclusions
The current unequal distribution of provider engagement and choice in NZ has relevance for a number of specific maternity policies, including policies seeking to improve engagement in antenatal care. The study findings have international relevance as an example of the impact of choice policies on equity.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>26172320</pmid><doi>10.1111/ajo.12319</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-8666 |
| ispartof | Australian & New Zealand journal of obstetrics & gynaecology, 2015-08, Vol.55 (4), p.323-330 |
| issn | 0004-8666 1479-828X |
| language | eng |
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| source | Wiley-Blackwell Journals; MEDLINE |
| subjects | Adult delivery of health care Female Health Services Accessibility - statistics & numerical data Healthcare Disparities - statistics & numerical data Humans Longitudinal Studies maternal health services Midwifery New Zealand Patient Acceptance of Health Care - statistics & numerical data Patient Participation - statistics & numerical data Pregnancy prenatal care Prenatal Care - statistics & numerical data Prenatal Care - utilization |
| title | Provider engagement and choice in the Lead Maternity Carer System: Evidence from Growing Up in New Zealand |
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