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http://hdl.handle.net/10071/16660
acessibilidade
Title: Institutionalisation and professional dynamics in home births: insights from a STSM comparing Israel and Portugal
Authors: Santos, M. J. D. S.
Keywords: Home birth
Regulation
Israel
Portugal
Issue Date: 2018
Series/Report no.: 222/2018
Abstract: The aim of this paper is to explore some of the professional dynamics around home births in Israel and Portugal, in a comparative analysis. Institutionalisation of home births is recognised for its advantages, including making home births safer. In Israel, home births are more institutionalised than in Portugal: there is a dedicated guideline issued by the government; and licensed home birth midwives are affiliated with an association that can work as a community of practice, at the same time as it mediates the communication between these midwives and other health professionals, and between these midwives and the state. However, Israel also serves as an example of how institutionalisation may also lead to intra and inter-professional conflict and further limitation of the autonomous practice of midwives. The involvement of key stakeholders in the process of institutionalisation, including users, on the definition and review of regulations and guidelines seems vital for an adequate integration of home births in the wider health system.
Peer reviewed: no
URI: http://hdl.handle.net/10071/16660
ISSN: 1647-0893
Ciência-IUL: https://ciencia.iscte-iul.pt/id/ci-pub-57579
Appears in Collections:CIES-WP - Working papers

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