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. 2025 Jul 24;13(15):1798.
doi: 10.3390/healthcare13151798.

Interprofessional Collaboration in Obstetric and Midwifery Care-Multigroup Comparison of Midwives' and Physicians' Perspective

Anja Alexandra Schulz  1 , Markus Antonius Wirtz  1
Affiliations

Interprofessional Collaboration in Obstetric and Midwifery Care-Multigroup Comparison of Midwives' and Physicians' Perspective

Anja Alexandra Schulz et al. Healthcare (Basel). .

Abstract

Background: Interprofessional collaboration (IPC) is considered fundamental for integrated, high-quality woman-centered care. This study analyzes concordance/differences in the perspectives of midwives and physicians on IPC and Equitable Communication (EC) in prenatal/postpartum (PPC) and birth care (BC). Methods: The short form of the ICS Scale (ICS-R with eight items) adapted for the midwifery context, and the EC scale (three items) were completed by 293 midwives and 215 physicians in Germany. Profession- and the setting-specific differences were analyzed using t-tests and ANOVA with repeated measurements. Confirmatory factor analysis with nested model comparisons test the fairness of the scales. Results: Midwives' ratings of all IPC aspects were systematically lower than physicians' in both care settings (variance component professional group: η2p = 0.227/ 0.318), esp. for EC (d = 1.22-1.41). Both groups rated EC higher in BC. The setting effect was less pronounced among physicians for the ICS-R items than among midwives. Violations of test fairness reveal validity deficiencies when using the aggregated EC sum score for group comparisons. Conclusions: Fundamental professional differences were found in the IPC assessment between physicians and midwives. The results enhance the understanding of IPC dynamics and provide starting points for action to leverage IPC's potential for woman-centered care.

Keywords: equitable communication; interprofessional collaboration; midwifery care; midwives; multi-perspective; multigroup confirmatory factor analysis; obstetric care; physicians; test fairness; woman-centered care.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Smith D.C. Midwife-physician collaboration: A conceptual framework for interprofessional collaborative practice. J. Midwifery Women’s Health. 2015;60:128–139. doi: 10.1111/jmwh.12204. - DOI - PubMed
    1. Sadikan M.Z., Ariffin I.A. Breaking Barriers, Building Bridges: A Review of Interprofessional Collaboration in Medical Education. Int. J. Transform. Health Prof. Educ. 2024;2:21–36. doi: 10.71354/ijthpe.02.01.19. - DOI
    1. Reeves S., Clark E., Lawton S., Ream M., Ross F. Examining the nature of interprofessional interventions designed to promote patient safety: A narrative review. Int. J. Qual. Health Care. 2017;29:144–150. doi: 10.1093/intqhc/mzx008. - DOI - PubMed
    1. World Health Organization . Interprofessional Collaborative Practice in Primary Health Care: Nursing and Midwifery Perspectives: 6 Case Studies. World Health Organization; Geneva, Switzerland: 2013.
    1. Alsheikh M., Alzamil H. Interprofessional Collaborative Practice in Contemporary Health Care: Defining and Exploring the Meaning of Practice. In: Alnaami M.Y., Alqahtani D.A., Alfaris E.A., Abdulghani H.M., Mohammed C.A., editors. Novel Health Interprofessional Education and Collaborative Practice Program: Strategy and Implementation. Springer Nature; Singapore: 2023. pp. 35–49. - DOI

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