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Table 6 Further development of ML-AC as reported by managers, midwives, physicians

From: Sustainability of hospital-based midwife-led antenatal care consultation — a qualitative study

 

Managers

Midwives

Physicians

Reimbursement

Long-term reimbursement through health care system

Permanent midwife positions to offer ML-AC

Financially feasible

Leadership support

All managers have to support consultation

Head midwife has to support consultation

Hospital A: Leadership changes can threaten consultation

Continuing education for ML-AC midwives

Necessary to support quality of consultations over time

Interest in taking classes

Hospital A: No need for education of midwives

Development of consultation topics

Consultation topics have to be adapted over time

Hospital A: No changes necessary

Hospital B: Evaluation of new topics on a regular basis