Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil
Plain language summary In 2015, a quality improvement program, called the "Adequate Childbirth Program" (PPA), was recommended by the National Supplementary Health Agency so that Brazilian private hospitals could, through a change in the care model, reduce unnecessary cesarean sections and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-022-01542-3 |
| _version_ | 1797958640351576064 |
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| author | Débora Cecília Chaves de Oliveira Andreza Rodrigues Lucia Regina de Azevedo Nicida Maysa Luduvice Gomes Jacqueline Alves Torres Elyne Montenegro Engstrom |
| author_facet | Débora Cecília Chaves de Oliveira Andreza Rodrigues Lucia Regina de Azevedo Nicida Maysa Luduvice Gomes Jacqueline Alves Torres Elyne Montenegro Engstrom |
| author_sort | Débora Cecília Chaves de Oliveira |
| collection | DOAJ |
| description | Plain language summary In 2015, a quality improvement program, called the "Adequate Childbirth Program" (PPA), was recommended by the National Supplementary Health Agency so that Brazilian private hospitals could, through a change in the care model, reduce unnecessary cesarean sections and stimulate the natural and safe process in childbirth. The process of adhering to the PPA was studied in this article. Ten managers and 24 assistant leaders were interviewed in 08 private hospitals in Brazil. The main reasons for joining the PPA were the absence of other quality improvement programs; for being a program considered necessary in the country's midwifery, which could increase the prestige of hospitals in the view of women and families; for proposing an improvement in the quality of care; and for stimulating of structural and ambiance reforms. Social, cultural, and economic values motivated hospital adherence. The invitation strategy used by the PPA coordination, through socially respected members in Brazil, such as medical professionals, was highly valued by the hospital's leaders and encouraged adherence to the Program. |
| first_indexed | 2024-04-11T00:21:49Z |
| format | Article |
| id | doaj.art-5f7406af41b24d218f43103ff3afbf09 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-11T00:21:49Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-5f7406af41b24d218f43103ff3afbf092023-01-08T12:13:36ZengBMCReproductive Health1742-47552023-01-0120S211210.1186/s12978-022-01542-3Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in BrazilDébora Cecília Chaves de Oliveira0Andreza Rodrigues1Lucia Regina de Azevedo Nicida2Maysa Luduvice Gomes3Jacqueline Alves Torres4Elyne Montenegro Engstrom5Programa de Pós-Graduação em Saúde Pública, Escola Nacional de Saúde Pública, Fundação Oswaldo CruzSaúde Coletiva Pelo Instituto Nacional de Saúde da Mulher, da Criança E Do Adolescente Fernandes Figueira, Fundação Oswaldo CruzSaúde Coletiva Pelo Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo CruzEscola de Enfermagem Anna Nery UFRJTechnical Director do Institute for Healthcare ImprovementSaúde Coletiva Pela Escola Nacional de Saúde Pública, Fundação Oswaldo CruzPlain language summary In 2015, a quality improvement program, called the "Adequate Childbirth Program" (PPA), was recommended by the National Supplementary Health Agency so that Brazilian private hospitals could, through a change in the care model, reduce unnecessary cesarean sections and stimulate the natural and safe process in childbirth. The process of adhering to the PPA was studied in this article. Ten managers and 24 assistant leaders were interviewed in 08 private hospitals in Brazil. The main reasons for joining the PPA were the absence of other quality improvement programs; for being a program considered necessary in the country's midwifery, which could increase the prestige of hospitals in the view of women and families; for proposing an improvement in the quality of care; and for stimulating of structural and ambiance reforms. Social, cultural, and economic values motivated hospital adherence. The invitation strategy used by the PPA coordination, through socially respected members in Brazil, such as medical professionals, was highly valued by the hospital's leaders and encouraged adherence to the Program.https://doi.org/10.1186/s12978-022-01542-3Diffusion inovationInnovationHealthcareQuality improvement |
| spellingShingle | Débora Cecília Chaves de Oliveira Andreza Rodrigues Lucia Regina de Azevedo Nicida Maysa Luduvice Gomes Jacqueline Alves Torres Elyne Montenegro Engstrom Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil Reproductive Health Diffusion inovation Innovation Healthcare Quality improvement |
| title | Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil |
| title_full | Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil |
| title_fullStr | Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil |
| title_full_unstemmed | Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil |
| title_short | Process of adhesion of the Adequate Childbirth Program to improve obstetric care in private hospitals in Brazil |
| title_sort | process of adhesion of the adequate childbirth program to improve obstetric care in private hospitals in brazil |
| topic | Diffusion inovation Innovation Healthcare Quality improvement |
| url | https://doi.org/10.1186/s12978-022-01542-3 |
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