Exploring midwifery engagement and collaboration within integrative care models in Ontario, Canada
Notice bibliographique
Résumé
Problem Statement: Since 2019, Ontario Health Teams (OHTs) have been forming to coordinate and streamline care across health sectors within the province of Ontario, Canada, but little is known about how midwives and their practice groups are engaging and collaborating within this model of care delivery. Background: In Ontario, midwives provide primary care for pregnancy, birth and postpartum, and are most commonly organized in midwifery practice groups as autonomous providers. From the literature we understand that factors such as funding, care model, and philosophical differences may pose challenges for midwifery integration and collaboration between health professions, and within team-based care models. The aim of this inquiry is to identify what is known about the engagement of midwives and their practice groups within OHTs. Additionally, by highlighting potential facilitators and challenges for midwifery collaboration within integrative care models, this study further aims to develop recommendations to improve engagement and inform future research directions. Who is it for? Findings from this inquiry describe facilitators and challenges for midwifery engagement within integrative care models, as well as recommendations, that are relevant for policy makers, healthcare organizations and primary care providers. These findings will also provide a foundation for future research and engagement with midwives, their organizations, collaborators and leaders within OHTs. What did you do? A rapid review of the literature and environmental scan related to midwifery partnering and collaborating within cross-sectoral integrative partnerships was undertaken. More specifically, we reviewed the literature to identify where and how midwives are engaging and collaborating within integrative care models, and identify facilitators and challenges to this collaboration. A review of OHT websites and public-facing documents was additionally undertaken to describe to what extent, and in what capacity, midwives and practice groups are engaging within OHTs. What results did you get? What impact did you have? Results from this preliminary inquiry provide context and a foundation for how midwifery professionals are engaged within integrative care models as collaborators within OHTs provincially. Findings from the literature identify facilitators and challenges to the collaboration by this professional group. In addition, results inform research questions and focus an approach for further exploration of the current state of midwifery engagement and collaboration within healthcare coordination at the OHT level. What is the learning for the international audience? While Ontario is working toward building integrative care models that include primary care providers, we anticipate that engagement and collaboration of midwifery practices and professionals within OHTs will vary across the province. Findings from this study may also offer insights regarding the engagement of other specialized services within OHTs. What are the next steps? The overall aim of this study is to develop recommendations to support the engagement and collaboration of midwifery professionals within integrative models, such as OHTs, and to identify areas for further inquiry.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,014 | 0,029 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,003 | 0,010 |
| Études des sciences et des technologies | 0,020 | 0,007 |
| Communication savante | 0,007 | 0,004 |
| Science ouverte | 0,003 | 0,010 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».