title: Midwifery-led care embedded within primary care: consumer satisfaction with a model in New Zealand.
abstract: BACKGROUND
  Providing quality maternity care for high-needs, socially deprived women from ethnic minority groups is challenging. Consumer satisfaction with maternity services is an important aspect of service evaluation for this group. This pilot study aimed to investigate the feasibility of using focus groups and interviews to gauge consumer satisfaction of maternity care by high-needs women, and to explore their perceptions of the Newtown Union Health Service (NUHS) model of a midwifery-led service embedded in primary care in Wellington, New Zealand (NZ).
  
  
  METHODS
  Following a previous audit of consumer satisfaction surveys collected over a six-year period, a qualitative pilot study using a thematic analytic approach was conducted at the NUHS in late 2011. The study assessed use of focus groups and interviews, interpreted where necessary, and considered the experiences reported by women about the model of care.
  
  
  RESULTS
  Interviews and focus groups were successfully conducted with 11 women: two NZ European (individual interviews), six Cambodian (five in a focus group, one interview), and three Samoan (focus group). Using a thematic analytic approach, key themes identified from the focus group and interviews were: issues with survey form-filling; importance of accessibility and information; and relationships and communication with the midwifery team.
  
  
  CONCLUSIONS
  Interviews and focus groups were well received, and indicated positive endorsement of the model of care. They also revealed some hitherto unknown concerns. Good quality feedback about satisfaction with a range of maternal and child health services helps service providers to provide the best possible start in life for children in high-needs families.
authors.affiliation: Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South, Wellington, New Zealand. sue.pullon@otago.ac.nz.
authors.forename: Sue
authors.initials: S
authors.lastname: Pullon
authors.affiliation: Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
authors.forename: Ben
authors.initials: B
authors.lastname: Gray
authors.affiliation: Wairarapa District Health Board, Masterton, New Zealand.
authors.forename: Monika
authors.initials: M
authors.lastname: Steinmetz
authors.affiliation: Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
authors.forename: Claire
authors.initials: C
authors.lastname: Molineux
mesh_terms: D003142:Communication; D005006:Ethnicity; D005260:Female; D006266:Health Education; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008427:Maternal Health Services / Q000458:organization & administration*; D008880:Midwifery / Q000458:organization & administration*; D009520:New Zealand; D017060:Patient Satisfaction; D010865:Pilot Projects; D011247:Pregnancy; D011320:Primary Health Care / Q000458:organization & administration*