Barriers and enablers to accessing perinatal health services for rural Australian women: A qualitative exploration of rural health care providers perspectives.

Objective: To identify perceived barriers and enablers for rural women in accessing perinatal care within their own community from the perspective of perinatal health care providers. Design: A qualitative descriptive study design utilising reflexive thematic analysis, using the socioecological frame...

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Publicado en:Australian Journal of Rural Health Vol. 32; no. 4; pp. 774 - 789
Autores principales: Faulks, Fiona, Edvardsson, Kristina, Shafiei, Touran
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Barriers and enablers to accessing perinatal health services for rural Australian women: A qualitative exploration of rural health care providers perspectives.
      aug:
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          Faulks, Fiona
          Edvardsson, Kristina
          Shafiei, Touran
        affil: Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora Victoria, , Australia
      sug:
        subj:
          Health Services Accessibility
          Perinatal Care
          Rural Areas
          Australians Psychosocial Factors
          Women Psychosocial Factors
          Human Australia
          Funding Source
          Australia
          Female
          Adult
          Descriptive Research
          Qualitative Studies
          Thematic Analysis
          Semi-Structured Interview
          Checklists
          Purposive Sample
          Data Analysis Software
          Interprofessional Relations
          Collaboration
          Health Policy
          Social Capital
          Hardiness
          Cultural Diversity
          Adult: 19-44 years
          Female
      ab: Objective: To identify perceived barriers and enablers for rural women in accessing perinatal care within their own community from the perspective of perinatal health care providers. Design: A qualitative descriptive study design utilising reflexive thematic analysis, using the socioecological framework to organise and articulate findings. Setting: Victoria, Australia. Participants: Semi‐structured interviews were conducted with nine perinatal health care providers who provide care to pregnant women or new mothers in rural communities. Participants were recruited across Victoria in 2023. Results: Providers reported multi‐level barriers and enablers that exist for rural women in accessing perinatal care within their communities. Barriers included women's personal circumstances, challenging professional relationships, inequitable service provision, ineffective collaboration between services and clinicians and government funding models and policies. Enablers included strength and resilience of rural women, social capital within rural communities, flexible care delivery and innovative practice, rural culture and continuity of care models. Conclusion: Rural perinatal health care providers perceived that rural women face multiple barriers that are created or sustained by complex interpersonal, organisational, community and policy factors that are intrinsic to rural health care delivery. Several addressable factors were identified that create unnecessary barriers for rural women in engaging with perinatal care. These included education regarding health systems, rights and expectations, equitable distribution of perinatal services, improved interprofessional relationships and collaborative approaches to care and equity‐based funding models for perinatal services regardless of geographical location.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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