Choosing the choices in the USA: examples in the maternity area.
The concept of choice has featured prominently in both the recent United Kingdom (UK) health care reforms and in the debate relating to the care of childbearing women. An invitation to the USA facilitated contemplation of the health care system on which the recent UK reforms have been modelled. The impact of the health system on mother's choices was a source of particular interest. The implications for midwives, their practice and their relationships with their clients and colleagues emerge clearly. It may be that the United States' model of health care does not answer the needs of the UK.
Mander
R
R
Department of Nursing Studies, University of Edinburgh, Scotland.
D015360:Analgesia, Epidural; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007400:Interprofessional Relations; D008008:Licensure, Nursing; D008389:Marketing of Health Services; D008427:Maternal Health Services / Q000458:organization & administration*; D009721:Nurse Midwives / Q000458:organization & administration*; D011247:Pregnancy; D006113:United Kingdom; D014481:United States