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To the best of our knowledge, this is the first study to describe how general practitioners achieved this standard by providing continuity of provider care over time.
We rejected our first hypothesis to find a greater proportion of GPs displayed continuity of provider care, rather than transient care, but that only 39% of GPs appeared to have been present in the ACT for the full eight years of the study.
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Continuity of providers is a major element of patient and parent satisfaction with care [ 6] and has been linked to improved care processes [ 7].
How does continuity of care provider influence the effectiveness of postnatal care delivery?
The willingness to pay for continuity of service provider may reflect the socioeconomic status of the women who participated in this study.
Our study did not explore women's satisfaction with any other aspects of ANC such as technical quality, physical environment, access and continuity of the provider [ 37, 38] that were not modified with the intervention, or the differences in users' satisfaction associated with ANC received in different types of facilities (i.e. private or public).
Insensitive communication was often related to the attitudes and behaviours of individual professionals; however, organisational factors particularly a lack of continuity of care provider and service fragmentation common in standard UK model of 'high-risk' antenatal care were consistently and repeatedly associated with decreased satisfaction with care.
The importance of continuity of care provider also has been highlighted in a number of studies [ 30, 39, 42, 43] and relates to women wanting clinicians to know them and to remember them from one visit to the next [ 40, 42].
Continuity of care providers, i.e. GP and practice nurses, GPs' expertise, trust, free choice of GP and a kind open attitude were highly valued.
Many participants suggested an after hour's payment to the obstetrician could ensure their own doctor would attend their births and thus ensure continuity of care providers.
Continuity of maternity care provider throughout pregnancy and childbirth was important to women in our study.
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