February 25, 2003

Birth in a corporate world

A busy day today - finalising a submission for a big project we are hoping to undertake later in the year (more on this later) and also tying up loose ends before setting off for the UK in two days.

A colleague in Queensland contacted me about the horrible time she is having trying to practice midwifery in her local public hospital. It seems that the concept of “corporatisation” has taken hold and the hospital is trying to emulate big business by badging their products and services rather than focusing on health care.

This has resulted in more attention being paid to the image and indoctrination of the staff than the needs of the patients. In the maternity unit the caesarean section hovers between 30 - 60% depending on the day of the week and inductions are the way most labours start.

What is the point of all this? Why would a hospital try to look like a big business? People who are sick just want to get better and receive good care from someone whois more interested in helping them than how their uniform stands up to scrutiny. I can see the need to have staff training sessions on public relations - how to make people feel welcome, how to communicate well, learning how to smile under pressure etc, but this is surely just common sense and basic good manners.

Private hospitals are all about marketing a name and business-like functioning. They are also the places where the most important people are the doctors (who bring in the money, sorry, clients) and where the patient is the lowest one on the totem pole. This approach is especially inappropriate for pregnant women, who are not sick and should not have to be there in the first place. However, many of them come from the corporate world themselves and I guess they feel right at home! The dazzling image must also be clouding their judgement - why else would they accept the unjustifiable rates of interventions in their births that occur in these money making shrines?

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