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Best Practice in der interprofessionellen Schwangerenvorsorge

2021/12/08 by Koch, Ramona, Loytved, Christine, König-Bachmann, Martina +1
#Gynäkolog*innen #Hebammen #Medicine and health #Schwangerenbetreuung #gynaecologists #interdisciplinary #interdisziplinär #midwives #prenatal care

paper · doi:10.3205/zhwi000023

Abstract

Background: Although the advantages of interprofessional care have been proven and pregnant women in Switzerland have free choice of caregivers, most of them are cared for exclusively by physicians. Objective: To collect expert knowledge on the factors determining success or failure of interprofessional collaboration between midwives and gynaecologists within antenatal care in Switzerland. Research question: What does best practice look like in interprofessional antenatal care provided by midwives and gynaecologists in Switzerland? Methods: Five semi-structured dyadic and group interviews with six midwives and five gynaecologists who provide interprofessional antenatal care in Switzerland. Interviews were transcribed verbatim and qualitative content analysis was applied. Findings: Information was acquired on best practice topics such as values, knowledge and context. A new topic, interpersonal relationships and workplace culture, emerged as an additional factor in the success of interprofessional antenatal care. Conclusions: There is no “best” form of internal organisation for interprofessional collaboration. What is more important is a clear concept, supported by all participants, and good interpersonal relationships among caregivers. The implementation of interprofessional collaboration presents political, economic, social and organisational challenges.

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