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Title: Improving systems of prenatal and postpartum care for hyperglycemia in pregnancy: A process evaluation.
Authors: MacKay, Diana
Freeman, Natasha
Boyle, Jacqueline A
Campbell, Sandra
McLean, Anna
Peiris, David
Corpus, Sumaria
Connors, Christine
Moore, Elizabeth
Wenitong, Mark
Silver, Bronwyn
McIntyre, H David
Shaw, Jonathan E
Brown, Alex
Kirkham, Renae
Maple-Brown, Louise
Citation: © 2021 International Federation of Gynecology and Obstetrics.
Int J Gynaecol Obstet. 2021 Nov;155(2):179-194. doi: 10.1002/ijgo.13850. Epub 2021 Sep 4.
Abstract: OBJECTIVE: To identify successes to date and opportunities for improvement in the implementation of a complex health systems intervention aiming to improve prenatal and postpartum care and health outcomes for women with hyperglycemia in pregnancy in regional and remote Australia. METHODS: A qualitative evaluation, underpinned by the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), was conducted mid-intervention. Semi-structured interviews were conducted with the participants, who included clinicians, regional policymakers and managers, and study implementation staff. RESULTS: Interviewees (n = 45) reported that the early phase of the intervention had resulted in the establishment of a clinician network, increased clinician awareness of hyperglycemia in pregnancy, and improvements in management, including earlier referral for specialist care and a focus on improving communication with women. Enablers of implementation included existing relationships with stakeholders and alignment of the intervention with health service priorities. Challenges included engaging remote clinicians and the labor-intensive nature of maintaining a clinical register of women with hyperglycemia in pregnancy. CONCLUSION: The early phase of this health systems intervention has had a positive perceived impact on systems of care for women with hyperglycemia in pregnancy. Findings have informed modifications to the intervention, including the development of a communication and engagement strategy.
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Journal title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Volume: 155
Pages: 179-194
Publication Date: 2021-11
Type: Journal Article
DOI: 10.1002/ijgo.13850
Orcid: 0000-0002-8209-886X
Appears in Collections:(a) NT Health Research Collection

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