46 2 CHAPTER 2 possible about their identities, and we do not report the role and profession of the participants being quoted. The interviews were semi-structured, guided by use of a topic list (Table 1). The topic list was based on themes related to decision making, questions resulting from our literature review, and was adjusted throughout the study as new themes were brought forward by participants. The interviews were conducted by the first author and lasted from 60 to 90 minutes. On the participants’ request, six interviews took place at the participants’ home, one interview took place at the VU University Medical Faculty in Amsterdam and one interview took place in a café. The interviews were recorded using a digital audio recorder and transcribed by a research assistant. The coded transcripts, the sound files and consent forms were stored in a secured, password protected, digital storage system, accessible only by the research team. Archival material In addition to the interviews, we collected the SGKL’s meetings’ minutes and associated documents. These were made available to us by the National Archives of the Netherlands ( The SGKL met 27 times from the period May 1983 until February 1987 (Werkgroep Bijstelling Kloostermanlijst, 1987, p. 12). For the purpose of this study we used the sections regarding the decisions about the positon of gatekeeper and excluded sections regarding the revision of the list of medical indications. The minutes of four of the 27 meetings and 14 of the 84 associated documents were missing, some of which, as far as we can assess, contained information regarding the decision about the position of gatekeeper. Data analysis Data were analysed by the first author. As a start, the first and second author coded one interview and one document independently, and discussed the difference in coding to Table 1. Topic list for the interviews. ● Decision system two echelons ● Decision to assign the midwife over risk assessment and referral ● Decision process – Independency of the chair – Shared vision – Shared goals – Shared goals have priority over individual goals – All stakeholders are represented – The representatives represent the members of their profession – The representatives communicate with the members of their profession – The representatives have mandate – The SGKL has the necessary expertise to reach their goals – All representatives are committed to the SGKL’s goals – All representatives have a say in the SGKL’s decisions – The decisions are supported by all members of the SGKL – The SGKL has sufficient time to reach decisions – The representatives share the SGKL’s decision to the members of their profession 8 B. Goodarzi et al.