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. 2017 Jan 31;17(1):92.
doi: 10.1186/s12913-017-2051-4.

Healthcare providers' views on the delivery of preconception care in a local community setting in the Netherlands

M Poels  1 , M P H Koster  2   3 , A Franx  2 , H F van Stel  4
Affiliations

Healthcare providers' views on the delivery of preconception care in a local community setting in the Netherlands

M Poels et al. BMC Health Serv Res. .

Abstract

Background: The attention for preconception care (PCC) has grown substantially in recent years, yet PCC is far from routine in daily practice. One of the major challenges for the implementation of PCC is to identify how it can best be organized and provided within the primary care setting. The aim of this study was to identify bottlenecks and solutions for the delivery of PCC from a healthcare providers' perspective in a local community setting in the Netherlands.

Methods: Health professionals within the region of Zeist, the Netherlands, were invited for a meeting on the local implementation of PCC. Five parallel group sessions were held with 30 participants from different disciplines. The sessions were moderated based on the Nominal Group Technique, in which bottlenecks (step 1) and solutions (step 2) for the delivery of PCC were gathered, categorized and prioritized by the participants.

Results: Participants expressed that the provision of PCC is challenging due to lack of awareness, the absence of a costing structure and unclear allocation of responsibilities. The most pragmatic approach considered was to make interdisciplinary arrangements within the local primary care setting. Participants recommended to 1) settle a costing structure by means of third party reimbursement, 2) improve collaboration by means of a local cooperation network and an adequate referral system, 3) invest in education, tools and logistics and 4) increase uptake rates by the routine opportunistic offer of PCC and promotional campaigns.

Conclusions: From a provider's perspective a tailored approach is advocated in which interdisciplinary arrangements for collaboration and referral are set up within the local primary care setting.

Keywords: Healthcare delivery; Healthcare providers; Implementation strategy; Preconception care; Qualitative research.

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References

    1. Atrash HK, Johnson K, Adams M, Cordero JF, Howse J. Preconception Care for Improving Perinatal Outcomes: The Time to Act. Matern Child Health J. 2006;10:S3–11. doi: 10.1007/s10995-006-0100-4. - DOI - PMC - PubMed
    1. Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, Boulet S, Curtis MG, CDC/ATSDR Preconception Care Work Group. Select Panel on Preconception Care Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006;55:1–23. - PubMed
    1. Lu MC. Recommendations for preconception care. Am Fam Physician. 2007;76:397–400. - PubMed
    1. de Weerd S, Steegers EA. The past and present practices and continuing controversies of preconception care. Community Genet. 2002;5:50–60. doi: 10.1159/000064631. - DOI - PubMed
    1. Health Council of the Netherlands . Preconception Care: A Good Beginning. 2007.