Mix of Maternity Care Providers in Canada
- PMID: 26571468
- PMCID: PMC4748365
Mix of Maternity Care Providers in Canada
Abstract
Objective: To identify the factors influencing women's choice of maternity care providers in Canada.
Method: Using the Maternity Experience Survey and a multinomial logit model, this paper examined the influence of various socio-economic and demographic factors on the mix of maternity care providers, while controlling for maternal risk profiles. Additionally, provinces were interacted with maternal age to assess the extent to which regional variations in mix of maternity care providers is influenced by pregnant women's needs.
Results: Besides maternal risk factors, province of prenatal care and the place of residence were found to be statistically significant determinants of choice of maternity care providers. Analysis involving interaction terms indicated wide regional variations in the mix of providers by maternal age.
Conclusions: The results suggest a wide provincial variation in the mix of maternity care providers. New provincial government initiatives are needed to enhance the supply and capacity of care providers.
Objectif:: Déterminer les facteurs qui influent sur le choix, par les femmes, du fournisseur de soins de maternité au Canada.
Méthode:: S'appuyant sur l'Enquête sur l'expérience de la maternité et à l'aide d'un modèle logistique multinomial, cet article examine l'influence de plusieurs facteurs socioéconomiques et démographiques sur la composition des fournisseurs de soins de maternité, tout en contrôlant les profils de maternité à risque. De plus, nous avons considéré le lien entre les provinces et l'âge à la grossesse pour évaluer à quel point les besoins des femmes enceintes influencent les variations régionales dans la composition des fournisseurs de soins de maternité.
Résultats:: Mis à part les facteurs liés à une maternité à risque, la province où sont donnés les soins prénataux et le lieu de résidence s'avèrent des déterminants statistiquement significatifs du choix quant aux fournisseurs de soins de maternité. L'analyse des interactions démontre une grande variation régionale dans la composition des fournisseurs de soins de maternité, et ce, en fonction de l'âge pendant la grossesse.
Conclusions:: Les résultats font voir une grande variation entre les provinces dans la composition des fournisseurs de soins de maternité. Les gouvernements provinciaux devraient adopter de nouvelles initiatives pour accroître la présence et la capacité des fournisseurs de soins.
Copyright © 2015 Longwoods Publishing.
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