Evidence map›Paper›PMID 28633636›Full record

ArticleBMC health services research2017

Typology of birth centres in the Netherlands using the Rainbow model of integrated care: results of the Dutch Birth Centre Study.

Inge C Boesveld, Marc A Bruijnzeels, Marit Hitzert, Marieke A A Hermus, Karin M van der Pal-de Bruin, M E van den Akker-van Marle, Eric A P Steegers, Arie Franx, Raymond G de Vries, Therese A Wiegers

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In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Inge C BoesveldJan van Es Institute, Netherlands Expert Centre Integrated Primary Care, Wisselweg 33, 1314 CB, Almere, the Netherlands. i.boesveld@jvei.nl.
Marc A BruijnzeelsJan van Es Institute, Netherlands Expert Centre Integrated Primary Care, Wisselweg 33, 1314 CB, Almere, the Netherlands.
Marit HitzertDepartment of Obstetrics and Gynaecology, Erasmus University Medical Centre, PO Box 2014, 3000 CA, Rotterdam, the Netherlands.
Marieke A A HermusDepartment of Child Health, TNO, PO Box 2215, 2301 CE, Leiden, the Netherlands.
Karin M van der Pal-de BruinDepartment of Child Health, TNO, PO Box 2215, 2301 CE, Leiden, the Netherlands.
M E van den Akker-van MarleDepartment of Medical Decision Making, Leiden University Medical Centre, PO Box 9600, 2300 RC, Leiden, the Netherlands.
Eric A P SteegersDepartment of Obstetrics and Gynaecology, Erasmus University Medical Centre, PO Box 2014, 3000 CA, Rotterdam, the Netherlands.
Arie FranxDivision Woman and Baby, University Medical Centre Utrecht, PO Box 85500, 3508 GA, Utrecht, the Netherlands.
Raymond G de VriesAcademie Verloskunde Maastricht/Zuyd University, CAPHRI School for Public Health and Primary Care, PO Box 616, 6200 MD, Maastricht, the Netherlands.
Therese A WiegersNIVEL (Netherlands Institute for Health Services Research), PO Box 1568, 3500 BN, Utrecht, the Netherlands.
Leiden University · NLNetherlands Institute for Health Services Research · NLOntwikkelingsmaatschappij Oost Nederland · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe goal of integrated care is to offer a continuum of care that crosses the boundaries of public health, primary, secondary, and tertiary care. Integrated care is increasingly promoted for people with complex needs and has also recently been promoted in maternity care systems to improve the quality of care. Especially when located near an obstetric unit, birth centres are considered to be ideal settings for the realization of integrated care. At present, however, we know very little about the degree of integration in these centres and we do not know if increased levels of integration improve the quality of the care delivered. The Dutch Birth Centre Study is designed to evaluate birth centres and their contribution to the Dutch maternity care system. The aim of this particular sub-study is to classify birth centres in clusters with similar characteristics based on integration profiles, to support the evaluation of birth centre care.

methodsThis study is based on the Rainbow Model of Integrated Care. We used a survey followed by qualitative interviews in 23 birth centres in the Netherlands to determine which integration profiles can be distinguished and to describe their discriminating characteristics. Cluster analysis was used to classify the birth centres.

resultsBirth centres were classified into three clusters: 1)"Mono-disciplinary-oriented birth centres" (n = 10): which are mainly owned by primary care organizations and established as physical facilities to provide an alternative birthplace for low risk births; 2) "Multi-disciplinary-oriented birth centres" (n = 6): which are mainly multi-disciplinary oriented and can be regarded as facilities to give birth, with a focus on integrated birth care; 3) "Mixed Cluster of birth centres" (n = 7): which have a range of organizational forms that differentiate them from centres in the other clusters.

conclusionWe identified a recognizable classification, with similar characteristics between birth centres in the clusters. The results of this study can be used to relate integration profiles of birth centres to quality of care, costs, and perinatal outcomes. This assessment makes it possible to develop recommendations with regard to the type and degree of integration of Dutch birth centres in the future.

Indexed as

Analysis of VarianceBirthing CentersCluster AnalysisDelivery of Health Care, IntegratedHealth Care SurveysHumansInterviews as TopicNetherlandsPrimary Health CareSurveys and QuestionnairesBirth centresClassificationCollaborationIntegrated careTypology

Identifiers

PMID28633636
PMCPMC5479044
OpenAlexW2646664555

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.