2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: The risk of poor maternal and perinatal outcomes in
|
|
|
|
|
|
|
|
high-income countries such as Australia is greatest for those
|
|
|
|
|
|
|
|
experiencing extreme social and economic disadvantage. Australian data
|
|
|
|
|
|
|
|
show that women of refugee background have higher rates of stillbirth,
|
|
|
|
|
|
|
|
fetal death in utero and perinatal mortality compared with Australian
|
|
|
|
|
|
|
|
born women. Policy and health system responses to such inequities have
|
|
|
|
|
|
|
|
been slow and poorly integrated. This protocol describes an innovative
|
|
|
|
|
|
|
|
programme of quality improvement and reform in publically funded
|
|
|
|
|
|
|
|
universal health services in Melbourne, Australia, that aims to address
|
|
|
|
|
|
|
|
refugee maternal and child health inequalities.
|
|
|
|
|
|
|
|
Methods/design: A partnership of 11 organisations spanning health
|
|
|
|
|
|
|
|
services, government and research is working to achieve change in the
|
|
|
|
|
|
|
|
way that maternity and early childhood health services support families
|
|
|
|
|
|
|
|
of refugee background. The aims of the programme are to improve access
|
|
|
|
|
|
|
|
to universal health care for families of refugee background and build
|
|
|
|
|
|
|
|
organisational and system capacity to address modifiable risk factors
|
|
|
|
|
|
|
|
for poor maternal and child health outcomes. Quality improvement
|
|
|
|
|
|
|
|
initiatives are iterative, co-designed by partners and implemented using
|
|
|
|
|
|
|
|
the Plan Do Study Act framework in four maternity hospitals and two
|
|
|
|
|
|
|
|
local government maternal and child health services. Bridging the Gap is
|
|
|
|
|
|
|
|
designed as a multi-phase, quasi-experimental study. Evaluation methods
|
|
|
|
|
|
|
|
include use of interrupted time series design to examine health service
|
|
|
|
|
|
|
|
use and maternal and child health outcomes over a 3-year period of
|
|
|
|
|
|
|
|
implementation. Process measures will examine refugee families''
|
|
|
|
|
|
|
|
experiences of specific initiatives and service providers'' views and
|
|
|
|
|
|
|
|
experiences of innovation and change.
|
|
|
|
|
|
|
|
Discussion: It is envisaged that the Bridging the Gap program will
|
|
|
|
|
|
|
|
provide essential evidence to support service and policy innovation and
|
|
|
|
|
|
|
|
knowledge about what it takes to implement sustainable improvements in
|
|
|
|
|
|
|
|
the way that health services support vulnerable populations, within the
|
|
|
|
|
|
|
|
constraints of existing resources.'
|
|
|
|
affiliation: 'Yelland, J (Corresponding Author), Murdoch Childrens Res Inst, Hlth
|
|
|
|
Mothers Hlth Families Res Grp, Parkville, Vic 3052, Australia.
|
|
|
|
|
|
|
|
Yelland, Jane; Riggs, Elisha; Dawson, Wendy; Vanpraag, Dannielle; Brown, Stephanie,
|
|
|
|
Murdoch Childrens Res Inst, Hlth Mothers Hlth Families Res Grp, Parkville, Vic 3052,
|
|
|
|
Australia.
|
|
|
|
|
|
|
|
Yelland, Jane; Riggs, Elisha; Furler, John; Brown, Stephanie, Univ Melbourne, Dept
|
|
|
|
Gen Practice, Parkville, Vic 3052, Australia.
|
|
|
|
|
|
|
|
Yelland, Jane; Riggs, Elisha, Univ Melbourne, Primary Hlth Care Acad Unit, Parkville,
|
|
|
|
Vic 3052, Australia.
|
|
|
|
|
|
|
|
Szwarc, Josef; Casey, Sue, Victorian Fdn Survivors Torture, Brunswick, Vic, Australia.
|
|
|
|
|
|
|
|
East, Chris; Wallace, Euan, Monash Hlth, Monash Womens Matern Serv, Clayton, Vic,
|
|
|
|
Australia.
|
|
|
|
|
|
|
|
East, Chris; Biro, Mary Anne; Willey, Sue, Monash Univ, Sch Nursing \& Midwifery,
|
|
|
|
Clayton, Vic, Australia.
|
|
|
|
|
|
|
|
East, Chris; Wallace, Euan, Monash Univ, Ritchie Ctr, Clayton, Vic, Australia.
|
|
|
|
|
|
|
|
Wallace, Euan, Monash Univ, Dept Obstet \& Gynaecol, Clayton, Vic 3168, Australia.
|
|
|
|
|
|
|
|
Teale, Glyn, Western Hlth, Womens \& Childrens Serv, Sunshine, Vic, Australia.
|
|
|
|
|
|
|
|
Teale, Glyn, Univ Melbourne, Dept Obstet \& Gynaecol, Parkville, Vic 3052, Australia.
|
|
|
|
|
|
|
|
Harrison, Bernie, City Greater Dandenong, Maternal \& Child Hlth, Dandenong, Vic,
|
|
|
|
Australia.
|
|
|
|
|
|
|
|
Petschel, Pauline, City Wyndham, Maternal \& Child Hlth, Wyndham, Vic, Australia.
|
|
|
|
|
|
|
|
Goldfeld, Sharon, Royal Childrens Hosp, Ctr Commun Child Hlth, Murdoch Childrens
|
|
|
|
Res Inst, Parkville, Vic 3052, Australia.
|
|
|
|
|
|
|
|
Goldfeld, Sharon; Mensah, Fiona, Univ Melbourne, Dept Paediat, Parkville, Vic 3052,
|
|
|
|
Australia.
|
|
|
|
|
|
|
|
Mensah, Fiona, Royal Childrens Hosp, Murdoch Childrens Res Inst, Clin Epidemiol
|
|
|
|
\& Biostat Unit, Parkville, Vic 3052, Australia.
|
|
|
|
|
|
|
|
Cheng, I-Hao, South Eastern Melbourne Medicare Local, Dandenong, Vic, Australia.
|
|
|
|
|
|
|
|
Cheng, I-Hao, Monash Univ, Southern Acad Primary Care Res Unit, Clayton, Vic 3800,
|
|
|
|
Australia.
|
|
|
|
|
|
|
|
Small, Rhonda, La Trobe Univ, Judith Lumley Ctr, Melbourne, Vic, Australia.
|
|
|
|
|
|
|
|
Brown, Stephanie, Univ Melbourne, Sch Populat Hlth, Parkville, Vic 3052, Australia.'
|
|
|
|
article-number: '62'
|
|
|
|
author: Yelland, Jane and Riggs, Elisha and Szwarc, Josef and Casey, Sue and Dawson,
|
|
|
|
Wendy and Vanpraag, Dannielle and East, Chris and Wallace, Euan and Teale, Glyn
|
|
|
|
and Harrison, Bernie and Petschel, Pauline and Furler, John and Goldfeld, Sharon
|
|
|
|
and Mensah, Fiona and Biro, Mary Anne and Willey, Sue and Cheng, I-Hao and Small,
|
|
|
|
Rhonda and Brown, Stephanie
|
|
|
|
author-email: jane.yelland@mcri.edu.au
|
|
|
|
author_list:
|
|
|
|
- family: Yelland
|
|
|
|
given: Jane
|
|
|
|
- family: Riggs
|
|
|
|
given: Elisha
|
|
|
|
- family: Szwarc
|
|
|
|
given: Josef
|
|
|
|
- family: Casey
|
|
|
|
given: Sue
|
|
|
|
- family: Dawson
|
|
|
|
given: Wendy
|
|
|
|
- family: Vanpraag
|
|
|
|
given: Dannielle
|
|
|
|
- family: East
|
|
|
|
given: Chris
|
|
|
|
- family: Wallace
|
|
|
|
given: Euan
|
|
|
|
- family: Teale
|
|
|
|
given: Glyn
|
|
|
|
- family: Harrison
|
|
|
|
given: Bernie
|
|
|
|
- family: Petschel
|
|
|
|
given: Pauline
|
|
|
|
- family: Furler
|
|
|
|
given: John
|
|
|
|
- family: Goldfeld
|
|
|
|
given: Sharon
|
|
|
|
- family: Mensah
|
|
|
|
given: Fiona
|
|
|
|
- family: Biro
|
|
|
|
given: Mary Anne
|
|
|
|
- family: Willey
|
|
|
|
given: Sue
|
|
|
|
- family: Cheng
|
|
|
|
given: I-Hao
|
|
|
|
- family: Small
|
|
|
|
given: Rhonda
|
|
|
|
- family: Brown
|
|
|
|
given: Stephanie
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1186/s13012-015-0251-z
|
|
|
|
files: []
|
|
|
|
issn: 1748-5908
|
|
|
|
journal: IMPLEMENTATION SCIENCE
|
|
|
|
keywords: 'Quality improvement; Partnerships; Universal health services; Refugee
|
|
|
|
|
|
|
|
families; Time series design; Process evaluation'
|
|
|
|
keywords-plus: 'ANTENATAL CARE; SERVICES; WOMEN; BIRTH; REFLECTIONS; AUSTRALIA;
|
|
|
|
|
|
|
|
DIFFUSION; COUNTRIES; FRAMEWORK'
|
|
|
|
language: English
|
|
|
|
month: APR 30
|
|
|
|
number-of-cited-references: '61'
|
|
|
|
orcid-numbers: 'Mensah, Fiona K/0000-0002-6951-9949
|
|
|
|
|
|
|
|
Furler, John S/0000-0003-0339-5848
|
|
|
|
|
|
|
|
Riggs, Elisha/0000-0003-0799-7467
|
|
|
|
|
|
|
|
Wallace, Euan M/0000-0002-4506-5233
|
|
|
|
|
|
|
|
East, Christine/0000-0002-1196-8426
|
|
|
|
|
|
|
|
Willey, Suzanne/0000-0002-1314-0745
|
|
|
|
|
|
|
|
Yelland, Jane/0000-0003-0377-5824
|
|
|
|
|
|
|
|
Goldfeld, Sharon/0000-0001-6520-7094
|
|
|
|
|
|
|
|
Brown, Stephanie/0000-0001-9812-0067
|
|
|
|
|
|
|
|
Biro, Mary Anne/0000-0003-2000-8571
|
|
|
|
|
|
|
|
Small, Rhonda/0000-0003-0345-4676'
|
|
|
|
papis_id: fbb510d2d0d2650475bd834d91300624
|
|
|
|
ref: Yelland2015bridginggap
|
|
|
|
researcherid-numbers: 'Mensah, Fiona K/G-3382-2018
|
|
|
|
|
|
|
|
Brown, Stephanie/AAE-1662-2019
|
|
|
|
|
|
|
|
Furler, John S/A-7858-2010
|
|
|
|
|
|
|
|
Riggs, Elisha/K-4267-2019
|
|
|
|
|
|
|
|
Wallace, Euan M/K-6774-2015
|
|
|
|
|
|
|
|
East, Christine/H-4938-2013
|
|
|
|
|
|
|
|
'
|
|
|
|
times-cited: '26'
|
|
|
|
title: 'Bridging the Gap: using an interrupted time series design to evaluate systems
|
|
|
|
reform addressing refugee maternal and child health inequalities'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000354183000001
|
|
|
|
usage-count-last-180-days: '1'
|
|
|
|
usage-count-since-2013: '32'
|
|
|
|
volume: '10'
|
|
|
|
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
|
|
|
|
year: '2015'
|