optimally align needs and resources. We found three main approaches of access regulation; geographical, medical and financial. Geographical regulation is based on the location of women and children and care facilities. Regionalization is the most applied strategy of care access regulation, organizing care in different levels, by geographically spreading general services at the lowest level of care, and concentrating scarce resources and specialized services at the highest level of care [57,73,76–79]. Medical regulation is grounded in women’s and children’s needs, expressed in terms of medical risk criteria; care is provided only to those whose needs correspond to prevailing criteria [59,80–85]. In financially regulated access to care, remuneration of care provision is subject to certain requirements and restrictions. Insurers apply a variety of strategies, such as capitation schemes and mandatory authorization for treatment decisions and referral [86,87]. In some countries, care access is medically regulated, Fig 2. Identified dimensions and shared themes. https://doi.org/10.1371/journal.pone.0234252.g002 PLOS ONE Risk selection in maternal and newborn care PLOS ONE | https://doi.org/10.1371/journal.pone.0234252 June 8, 2020 6 / 22 optimally align needs and resources. We found three main approaches of access regulation; geographical, medical and financial. Geographical regulation is based on the location of women and children and care facilities. R g onalization is the most applied strat gy f care access regulatio , organizing care in different levels, by geographically sp ading general services at the lowest level of care, and concentrating scarce resources and specialized services at the highest level of care [57,73,76–79]. Medical regulation is grounded in women’s and children’s needs, expressed in terms of medical risk criteria; care is provided only to those whose needs correspond to prevailing criteria [59,80–85]. In financially regulated access to care, remu eration of care provision is subject to certain requirements and restrictions. Insurers apply a variety of strategies, such as capitation schemes and mandatory authorization for treatment decisions and referral [86,87]. In some countries, care access is medically regulated, Fig 2. Identified dimensions and shared themes. https://doi.org/10.1371/journal.pone.0234252.g002 ONE Risk selection in maternal and newborn care ONE | https://doi.org/10.1371/journal.pone.0234252 June 8, 2020 6 / 22 74 3 CHAPTER 3
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