Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
7330228 | Social Science & Medicine | 2016 | 34 Pages |
Abstract
Analysis enabled us to chronologically reconstruct the policy process in response to the perinatal mortality rates. The quantification of the perinatal mortality problem, the openness of the debate and the nature of the topic were important process factors. Main theme of policy was that change was required in the entire spectrum of perinatal healthcare. This ranged from care in the preconception phase through to the puerperium. Furthermore emphasis was placed on the importance of preventive measures and socio-environmental determinants of health. This required involvement of the preventive setting, including municipalities. The Dutch tiered perinatal healthcare system and divergent views amongst curative perinatal health care providers were important context factors. This study provides lessons which are applicable to health care professionals and policy makers in perinatal care or other multidisciplinary fields.
Related Topics
Health Sciences
Medicine and Dentistry
Public Health and Health Policy
Authors
Amber A. Vos, Sabine F. van Voorst, Eric A.P. Steegers, Semiha DenktaÅ,