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Table 2 Business models for Death Doulas

From: Death doula working practices and models of care: the views of death doula training organisations

Theme

Respondent

Response

Rejected business standardisation

Organisation 2 (AUS)

“It will get sucked back up by the system”

 

Organisation 3 (the US)

“No. Each doula is as unique as the family served”

 

Organisation 10 (AUS)

“NO thanks

 

Organisation 11 (the US)

“not going to happen. doulas are too independent and they have too many varied skill sets. this is not a typical health care role. I have wondered about this since I started seeing more and more people come into this since 2010 and I still dont see it happening”

 

Organisation 12 (the US)

“No, owning a business is not part of being a doula. It can, but its not the focus. Businesses should employ doulas, not certify them and make them the customers”

Supported business standardisation

Organisation 6 (CAN)

“I agree

 

Organisation 13 (AUS)

[…] “That being said, a standardised business model across Australia would provide transparency for clients. Having doula services entrenched as main stream and funded accordingly through the NDIS*, aged care packages and home and community care funding or itemised through medicare** / health funds etc would be beneficial to all and have this service accessible to people of all socio-economic backgrounds. The emphasis should be on the conduct and practices of the doulas rather than their business model or structuring. We envisage and anticipate that doulas would agree to abide by a standard Code of Conduct associated with holding a current registration to provide end of life doulas services with the professional body. That would be linked to holding requisite insurance, continuing education requirements, duties, ethics, responsibilities, conflict resolution, adherance to required legislations like privacy/confidentiality etc.”

Did not support outright, not sure or expressed concerns

Org 1 (AUS)

“Standards of practice and ethos, yes (similar to registered art therapists with ANZACATA***, for example)”

 

Organisation 4 (SWED)

“Some of it perhaps yes but still, every country regardless if they happen to have for example English as a common language will still have differences in culture, laws etc.

 

Organisation 5 (NZ)

“I think this will occur naturally over time. The word standardised just crushes the joy and magic out of things”

 

Organisation 7 (CAN)

“Mixed. not sure how this would look but standardised rates would add clarity and validation”

 

Organisation 8 (the UK)

“Not sure”

 

Organisation 9 (the US)

“If it goes that route, then that is fine– there will be another grassroots movement to take it’s place”

  1. To note: *NDIS is the Australian National Disability Insurance Scheme; **Medicare is a national insurance scheme that provides free or subsidised healthcare for all Australians; ***ANZACATA is the peak professional association for creative arts therapies in Australia, New Zealand and Asia