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dc.contributor.authorDonnellan-Fernandez, R
dc.contributor.authorNewman, L
dc.contributor.authorReiger, K
dc.contributor.authorTracy, SK
dc.date.accessioned2019-02-27T23:18:25Z
dc.date.available2019-02-27T23:18:25Z
dc.date.issued2013
dc.identifier.issn2047-6965
dc.identifier.doi10.1057/hs.2013.7
dc.identifier.urihttp://hdl.handle.net/10072/172968
dc.description.abstractThis paper examines the background and limitations of maternity care policy and provision in Australia using the Boundary Critique (BC) method from critical systems thinking. We argue that the historical legacy of funding maternity care within medically dominated fee-for-service structures and acute hospital budgets is seriously flawed. Furthermore, it cannot deliver the policy goals of healthy and socially equitable birth practices. Despite the 2009 national Maternity Services Review (MSR) and progress of a National Maternity Services Plan (2011), most mainstream Australian maternity services remain out-of-step with both health service research and evidence-based ‘best practice’. The present system drives unnecessary clinical interventions, increased expenditure, short-term adverse health outcomes and the potential for a larger, unacknowledged legacy of future chronic disease. By contrast, BC analysis suggests that redesigning for good maternity service provision can act as a population-level preventative health strategy, offering better value, better health and improved equity in maternity care.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherPalgrave Macmillan Ltd
dc.relation.ispartofpagefrom213
dc.relation.ispartofpageto225
dc.relation.ispartofissue3
dc.relation.ispartofjournalHealth Systems
dc.relation.ispartofvolume2
dc.subject.fieldofresearchHealth and Community Services
dc.subject.fieldofresearchInformation Systems
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111708
dc.subject.fieldofresearchcode0806
dc.subject.fieldofresearchcode1117
dc.titleIdentifying better systems design in Australian maternity care: a Boundary Critique analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionPost-print
gro.rights.copyright© 2013 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Clinical Psychologist on 19 Dec 2017, available online: https://doi.org/10.1057/hs.2013.7
gro.hasfulltextFull Text
gro.griffith.authorDonnellan - Fernandez, Roslyn


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