Patient Perspectives of Rural Kansas Maternity Care.

Autor:	Blythe M; University of Kansas School of Medicine, Kansas City, KS., Istas K; American Academy of Family Physicians, Leawood, KS., Johnston S; Office of Medical Education, University of Kansas School of Medicine, Kansas City, KS., Estrada J; University of Kansas School of Medicine, Kansas City, KS., Hicks M; University of Kansas School of Medicine, Kansas City, KS., Kennedy M; Office of Rural Medical Education, University of Kansas School of Medicine, Kansas City, KS.
Jazyk:	angličtina
Zdroj:	Kansas journal of medicine [Kans J Med] 2021 Sep 01; Vol. 14, pp. 220-226. Date of Electronic Publication: 2021 Sep 01 (Print Publication: 2021).
DOI:	10.17161/kjm.vol1414752
Abstrakt:	Introduction: Pregnant women in rural areas face a unique set of challenges due to geographic maldistribution of obstetric services. The perspectives of rural Kansas women were sought regarding experience of birth and satisfaction with maternity care. Methods: Medical student research assistants facilitated discussion groups and structured interviews in rural Kansas communities distributed throughout the state with women who had an uncomplicated delivery in the last 24 months. Participants were recruited via convenience sampling from clinic medical records and appointments over a two-to-three-week period. Guiding questions were used to facilitate discussion. Survey instruments were used to gather information about satisfaction with maternity care. Data for qualitative and quantitative analysis was aggregated using Rural Urban Commuting Area (RUCA) codes. Results: Fourteen groups with 47 total participants completed the survey and discussion. Participants came from large rural, small rural, and isolated areas in Kansas as described by RUCA Code Four Category Classification. Survey results indicated that satisfaction with maternity care in participants' home county was significantly higher in small rural and isolated compared to large Rural RUCAs. Qualitative analysis results showed positive experiences related to doctor characteristics, relationship with doctor, doctor's involvement with care, alternative labor options, and distance convenience. Negative experiences were related to doctor bedside manner, doctor not there until delivery, and staff related complaints. Conclusions: Kansas women in small rural and isolated RUCA codes appeared to be more satisfied with care. (© 2021 The University of Kansas Medical Center.)
Databáze:	MEDLINE
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