Predictors of prenatal care satisfaction among pregnant women in American Samoa
| Autor: | Anne Marie Z. Jukic, Oluwaseyi Adeyinka, Nicola L. Hawley, Mata'uitafa Faiai, Bethel T Muasau-Howard, Stephen T. McGarvey |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Reproductive medicine Satisfaction Prenatal care Overweight lcsh:Gynecology and obstetrics Ambulatory Care Facilities Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine Patient satisfaction Pregnancy Surveys and Questionnaires medicine Humans 030212 general & internal medicine lcsh:RG1-991 Clinic accessibility 030219 obstetrics & reproductive medicine business.industry Physician interactions Obstetrics and Gynecology Prenatal Care medicine.disease Obesity American Samoa American samoa Patient Satisfaction Pregnancy History Family medicine Female medicine.symptom business Research Article |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 17, Iss 1, Pp 1-14 (2017) |
| ISSN: | 1471-2393 |
| Popis: | Background Pregnant women in American Samoa have a high risk of complications due to overweight and obesity. Prenatal care can mitigate the risk, however many women do not seek adequate care during pregnancy. Low utilization of prenatal care may stem from low levels of satisfaction with services offered. Our objective was to identify predictors of prenatal care satisfaction in American Samoa. Methods A structured survey was distributed to 165 pregnant women receiving prenatal care at the Lyndon B Johnson Tropical Medical Center, Pago Pago. Women self-reported demographic characteristics, pregnancy history, and satisfaction with prenatal care. Domains of satisfaction were extracted using principal components analysis. Scores were summed across each domain. Linear regression was used to examine associations between maternal characteristics and the summed scores within individual domains and for overall satisfaction. Result Three domains of satisfaction were identified: satisfaction with clinic services, clinic accessibility, and physician interactions. Waiting ≥ 2 h to see the doctor negatively impacted satisfaction with clinic services, clinic accessibility, and overall satisfaction. Living > 20 min from the clinic was associated with lower clinic accessibility, physician interactions, and overall satisfaction. Women who were employed/on maternity leave had lower scores for physician interactions compared with unemployed women/students. Women who did not attend all their appointments had lower overall satisfaction scores. Conclusions Satisfaction with clinic services, clinic accessibility and physician interactions are important contributors to prenatal care satisfaction. To improve patient satisfaction prenatal care clinics should focus on making it easier for women to reach clinics, improving waiting times, and increasing time with providers. Electronic supplementary material The online version of this article (10.1186/s12884-017-1563-6) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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