Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan
| Autor: | Najia Atif, Pamela J. Surkan, Maria Atiq, Asiya K. Kazi, Shaffaq Zulfiqar, Armaan A. Rowther, Huma Nazir, Abid Malik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Health Knowledge
Attitudes Practice Economics Maternal Health Health Care Providers Emotions Social Sciences Anxiety Geographical Locations 0302 clinical medicine Sociology Pregnancy Health care Medicine and Health Sciences Psychology Pakistan 030212 general & internal medicine Medical Personnel Young adult media_common Multidisciplinary Communication Obstetrics and Gynecology Social Communication Prenatal Care Professions Feeling 030220 oncology & carcinogenesis Medicine Female medicine.symptom Research Article Adult medicine.medical_specialty Asia Adolescent Attitude of Health Personnel media_common.quotation_subject Science Interpersonal communication Prenatal care 03 medical and health sciences Young Adult Antenatal Care Physicians medicine Humans Socioeconomic status Physician-Patient Relations business.industry Hospitals Public Biology and Life Sciences Communications Health Care Family medicine Public hospital People and Places Women's Health Population Groupings Pregnant Women business Finance |
| Zdroj: | PLoS ONE, Vol 16, Iss 2, p e0244671 (2021) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | This study explores pregnant women’s and healthcare providers’ perspectives on the role of patient-provider communication in experiences of antenatal anxiety within a low-resource setting. In 2017–18, we consecutively sampled pregnant women (n = 19) with at least mild anxiety and purposively sampled antenatal care providers (n = 10) from a public hospital in Punjab Province, Pakistan. We then conducted in-depth interviews and thematically coded them with a combination of inductive and deductive coding methodologies. We found that patients expressed a desire for warm, empathetic communication from providers who demonstrate respect, attentiveness, and a shared lived experience. Providers revealed an awareness that their heavy caseloads, high stress levels, and discourteous tones adversely influenced communication with pregnant women and may exacerbate their anxieties, but also reported that compassionately addressing women’s concerns, providing financial problem-solving and/or assistance, and moderating conflicting healthcare desires between patients and their families could alleviate anxiety in pregnant women. Patients reported feelings of anxiety stemming from a belief that they received lower quality communication from antenatal providers at public hospitals than patients received from antenatal providers at private hospitals, an experience that they partially attributed to their low socioeconomic status. Meanwhile, some providers disclosed potentially stigmatizing views of women from particular sociocultural backgrounds or low socioeconomic status, including perceptions that appeared to shape communication with these patients in antenatal care encounters. Our findings provide preliminary evidence that communication between pregnant women and antenatal providers that is warm, normalizes patient fears, and integrates patients’ interpersonal and financial considerations can mitigate pregnant women’s experiences of anxiety and reduce barriers to accessing antenatal care in Pakistan’s public healthcare facilities. |
| Databáze: | OpenAIRE |
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