Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1843
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dc.contributorSeal, A.en_US
dc.contributorHoban, E.en_US
dc.contributorPanzera, A.en_US
dc.contributorMcGirr, J.en_US
dc.date.accessioned2022-01-27T03:54:13Z-
dc.date.available2022-01-27T03:54:13Z-
dc.date.issued2021-
dc.identifier.govdoc01866en_US
dc.identifier.urihttp://hdl.handle.net/11054/1843-
dc.descriptionIncludes data from BHSen_US
dc.description.abstractObjective: Although there is some research on women’s choice of birthplace, most of this research has been conducted overseas. This study explored factors influencing the decision to use public or private maternity services within regional Australia. Methods: This cross-sectional study consisted of a community-based, anonymous, online questionnaire focused on factors influencing a woman’s choice of birth location and included adult females who had given birth in the past 2 years within two regional areas. Descriptive statistics were used to analyse demographic characteristics and factors influencing decisions regarding birthplace. Pearson’s Chi-squared test was used to compare public and private births for multiple variables. Binary logistic regression was used to determine the odds ratio for each potential factor based on whether participants with private health insurance (PHI) elected to birth in the public or private regional hospitals. Open coding was used to group responses to open ended questions into themes. Results: Data from 510 questionnaires were analysed. The three most frequently reported factors influencing a woman’s decision about birthplace were financial reasons, the ability to choose their doctor and not having PHI. Women with PHI who opted for birth in the public system were almost four-fold more likely to select access to intensive care services and 2.6-fold more likely to select a preference for a low-intervention birth as one of their top five most influential factors. The results highlight that women want access to midwifery continuity of care. Conclusion: This study provides insights into the factors influencing a woman’s complex decision about where and with whom to birth and how health insurance affects that decision, an area where there is a paucity of peer-reviewed literature. This research highlights the importance of being able to choose one’s doctor and the desire for access to midwife-led models of care, and provides evidence to advocate for improved access to additional models of care in the private sector.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2022-01-17T23:07:12Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2022-01-27T03:54:12Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2022-01-27T03:54:13Z (GMT). No. of bitstreams: 0 Previous issue date: 2021en
dc.titleBirthing in regional Australia: women's decision making surrounding birthplace.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleAustralian Health Reviewen_US
dc.bibliographicCitation.volume45en_US
dc.bibliographicCitation.issue5en_US
dc.bibliographicCitation.stpage570en_US
dc.bibliographicCitation.endpage577en_US
dc.subject.healththesaurusBIRTHPLACEen_US
dc.subject.healththesaurusCONTINUITY OF CAREen_US
dc.subject.healththesaurusMATERNITY CHOICESen_US
dc.subject.healththesaurusMODEL OF CAREen_US
dc.subject.healththesaurusPRIVATE HEALTH INSURANCEen_US
dc.identifier.doihttps://doi.org/10.1071/AH21067en_US
Appears in Collections:Research Output

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