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Evidence · Systematic review or meta-analysis

Facilitators and barriers to quality of care in maternal, newborn and child health: a global situational analysis through metareview.

Systematic review or meta-analysisBMJ Open2014Over 5 years oldFull text
  • Allied health
  • Communicating with families
  • Families and professional practice
  • Family-integrated care
  • Medical
  • Nursing
  • Quality improvement

This paper is from 2014, more than five years ago. Newer evidence may have been published since.

Summary

This metareview of 98 systematic reviews (2000–2013) identifies facilitators and barriers to improving quality of care for pregnant women, newborns and children across global health systems. Findings are mapped to the six domains of the WHO quality framework, with communication and satisfaction added as new domains. Facilitators include good interpersonal communication, respectful and supportive care, shared decision-making, continuity of care and audit and feedback. Barriers include language difficulties, power imbalances between users and providers, inconsistent guideline implementation and resource shortages.

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