Australian Institute of Health and Welfare (2021) Maternity care in Australia: first national report on models of care, 2021 , AIHW, Australian Government, accessed 07 July 2022.
Australian Institute of Health and Welfare. (2021). Maternity care in Australia: first national report on models of care, 2021 . Retrieved from https://pp.aihw.gov.au/reports/mothers-babies/maternity-models-of-care-2021
Maternity care in Australia: first national report on models of care, 2021 . Australian Institute of Health and Welfare, 18 November 2021, https://pp.aihw.gov.au/reports/mothers-babies/maternity-models-of-care-2021
Australian Institute of Health and Welfare. Maternity care in Australia: first national report on models of care, 2021 [Internet]. Canberra: Australian Institute of Health and Welfare, 2021 [cited 2022 Jul. 7]. Available from: https://pp.aihw.gov.au/reports/mothers-babies/maternity-models-of-care-2021
Australian Institute of Health and Welfare (AIHW) 2021, Maternity care in Australia: first national report on models of care, 2021 , viewed 7 July 2022, https://pp.aihw.gov.au/reports/mothers-babies/maternity-models-of-care-2021
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The scope of the MoC NBPDS is all models of maternity care available to pregnant and birthing women in Australia. The elements in the data set describe the different characteristics of models of maternity care around 3 domains:
Information about each of the data elements in the MoC NBPDS are in Technical notes and on METeOR.
The AIHW developed the MaCCS data collection tool (DCT) to collect information on the models of care available at each maternity service. A registered user in each service uses the DCT to classify their models of care, by answering a series of questions on each model of care they offer. This ensures they are classified in a standardised way. The questions used to classify each model of care are in Technical notes.
The DCT has a user guide to help registered users enter their models of care information accurately, and inbuilt validation and tool tips to reduce reporting errors. The AIHW also maintains a helpdesk to support services to classify their models of care. To ensure information is kept up to date, the AIHW asks maternity services to review and update their models of care annually, and validates new and updated models when they are submitted. Validation queries are followed up with maternity services. Any models of care with significant data quality queries still attached to them after follow up are excluded from reporting. For this report, 5 active models of care (less than 1%) were excluded from national reporting.
The information submitted to the DCT forms the basis of the MoC NBPDS. Summary information about each model of care submitted to the DCT is available for each maternity service at the MaCCS website. This includes the model ID number, model name and the major model category it falls under.
Collecting models of care at the service level also facilitates the inclusion of model of care data elements into the NPDC. The two model of care data elements going into the NPDC are primary maternity model of care and maternity model of care at the onset of labour or non-labour caesarean section. The model of care at the onset of labour or non-labour caesarean section may be similar to or different from the primary model of care a woman received through her pregnancy. The MaCCS DCT allocates a unique model ID number to each model of care entered to it. Model ID numbers can then be used to populate the two model of care data elements in each woman’s perinatal data record and to link NPDC data with other information in the MoC NBPDS. Analyses based on the number of women that receive a particular model of care will be possible once these model of care data elements are routinely collected in the NPDC.
Primary maternity model of care
The maternity model of care a female received for the majority of pregnancy care, as represented by a numeric identifier.
Guide for use:
This value is populated using the Maternity Care Classification System (MaCCS) and is the value of the unique model of care code.
The model of care a female received for the majority of pregnancy care, as determined by the number of antenatal visits within that model of care.
To be collected once, after the birth.
Maternity model of care at the onset of labour or non-labour caesarean section
The model of maternity care a female is under at the onset of labour or at the time of non-labour caesarean section, as represented by a numeric identifier.
In 2021, most (90%) maternity services with birth facilities had at least 1 active, or in use model of care, classified in the MaCCS DCT (see Table 1). However, a national baseline for ALL maternity models of care is not yet available because:
Services with at least 1 active model—public
Services with at least 1 active model—private
Total with at least 1 active model
Source: MaCCS DCT, 2021.
The completeness and quality of the MoC NBPDS will continue to improve as familiarity with the MaCCS DCT grows, with increased engagement by maternity services and maternity service providers, and with the inclusion of the two model of care data elements into the NPDC. The AIHW will continue its work to improve the accuracy and completeness of the models of care information and to incorporate these data elements into other maternal and perinatal health reporting.
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