عنوان

A Case Study:

Number

TLpq2395239187

.Language of Text, Soundtrack etc

انگلیسی

Title Proper

A Case Study:

General Material Designation

[Thesis]

First Statement of Responsibility

Shaw, Monique Simone

Title Proper by Another Author

Understanding Practices and Policies Surrounding Perinatal Regionalization in Michigan

Subsequent Statement of Responsibility

Peterson, Andrew

Name of Publisher, Distributor, etc.

University of the Sciences in Philadelphia

Date of Publication, Distribution, etc.

2020

Specific Material Designation and Extent of Item

193

Dissertation or thesis details and type of degree

Ph.D.

Body granting the degree

University of the Sciences in Philadelphia

Text preceding or following the note

2020

Text of Note

Perinatal regionalization (PR) is one of several solutions proposed to increase access to quality care and improve infant health outcomes. PR, a systems approach to coordinating healthcare services to ensure mothers and babies receive the care they need, has been recognized as a best practice for improving maternal and infant outcomes over the past several decades. However, over time, several factors have threatened the viability of PR systems across the country. Currently, many states in the U.S. working to improve outcomes are revisiting efforts to develop formalized PR. Hence, there is a need to better understand practices and policies surrounding the development, implementation, and sustainability of PR systems. Through the examination of stakeholders' perceptions and professional experiences, this qualitative instrumental case study of PR in Michigan investigates Michigan's long history with PR and its current efforts to reestablish PR in the state. Twelve key informant interviews were conducted with healthcare administrators, maternal and child health advocates, public health officials, and policymaker stakeholders. These in-depth interviews yielded data from which the following five overarching themes emerged to describe the evolution of Michigan's PR system and factors that may contribute to an effective PR system in the state today: PR evolution, outcomes, contextual factors, mitigating factors, and sustainability. This study provides comprehensive insights into stakeholders' perceptions of PR efforts in Michigan. Results from this study will inform other states aiming to advance favorable maternal and child health outcomes through regionalized perinatal care.

Health services research

Infant mortality

Michigan

Perinatal regionalization

Preterm birth

Quality

Peterson, Andrew

Shaw, Monique Simone

Electronic name

p

[Thesis]

276903

a

Y