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