Table 2 Adaptations after centralisation of AOC mentioned by the interviewees in this study [in alphabetical order]
Adaptations at a national level | Adaptations at a regional level | Adaptations at a local level |
|---|---|---|
Additional allowance for midwifery practices when there is reduces availability or accessibility of secondary care | Better back-up agreements between care providers | Always a room available in the hospital for emergencies in primary care |
| Â | Compensation of additional travel costs for patients by the municipality | Better back-up agreements in own organisation |
| Â | Harmonising protocols in the region | Discouraging homebirths when travel distance is long |
| Â | Increased ambulance capacity | Early call to maternity care assistant organisation for delivery assistance |
| Â | Innovative adaptations, such as antenatal CTG in primary care | Hire more staff in a midwifery practice/in the hospital |
| Â | Monitoring capacity in the hospitals, for example with an app | Midwife on call in primary care sleeps in her work region |
| Â | Redesigning Maternity Care Collaboration | Offer elective inductions for women with a long travel distance to the hospital |
| Â | Â | Travel distance as a factor in decision making |
| Â | Â | Triage room(s) in the hospital |
| Â | Â | Two midwifery teams in a midwifery practice |
| Â | Â | Health insurance coverage for outpatient birth |