Ošetřovatelské perspektivy 2024, 7(1):67-84 | DOI: 10.25142/osp.2023.019

CONTINUITY IN PRIMARY AND COMMUNITY CARE IN MIDWIFERY

Radmila Dorazilová1
1 Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, n. o.

Introduction: The World Health Organization has called on authorities in the European region to increase their efforts to strengthen family- and community-centred primary care in midwifery.

Aim: The aim of the thesis was to find out what conditions are created in the Czech and in the Slovak republic for primary and community care in midwifery. Furthermore, to find out how midwives perceive the existing barriers, what care is currently provided and the perspective of care in terms of midwives’ and women’s interest.

Methodology: The thesis was based on a quantitative research survey using two standard questionnaires of our own design. The research sample consisted of 320 Czech and 131 Slovak midwives and 521 Czech and 162 Slovak women. Data collection was conducted electronically via the internet platform “Survio”. The data were evaluated by descriptive and inferential statistics using SPSS and Excel.

Results: Midwives rated the most important “external” barriers as: most often insufficient support from the state and health insurance companies, inadequate legislation and resistance from gynaecologists. Slovak midwives perceive more barriers than Czech midwives. Both Czech and Slovak midwives provide and are interested in providing primary and community care. More Czech than Slovak and younger than older midwives provide and are interested in providing primary and community care. No difference was found between Czech and Slovak women’s interest in primary and community care by midwives.

Conclusion: Czech and Slovak midwives perceive barriers, but they are interested in providing primary and community care. Czech and Slovak women are interested in midwifery services in primary and community care.

Keywords: midwife, woman, primary and community care, obstacles-barriers, interest in care

Received: November 26, 2023; Revised: December 14, 2023; Accepted: December 18, 2023; Published: August 19, 2024  Show citation

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Dorazilová R. CONTINUITY IN PRIMARY AND COMMUNITY CARE IN MIDWIFERY. Ošetřovatelské perspektivy. 2024;7(1):67-84. doi: 10.25142/osp.2023.019.
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