Abdus-Salam R A, Adeniyi A A, Bello F A
Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria.
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
J Patient Exp. 2021 Nov 25;8:23743735211060802. doi: 10.1177/23743735211060802. eCollection 2021.
Time spent in the antenatal clinic (ANC) is a major disincentive for pregnant women and constitutes a barrier to the utilization of ANC. Long waiting time and poor patient satisfaction may contribute to poor utilization. This study assessed waiting time, patients' satisfaction, and preference for staggered ANC appointments. A cross-sectional study was conducted; information obtained includes sociodemographic and obstetric characteristics, and time spent at ANC service points. Data were analyzed using International Business Machines (IBM) Statistical Products and Service Solutions (SPSS) software version 23. Descriptive statistics and chi-square test were conducted. Level of significance: < .05. One hundred and twenty-two participants were interviewed. Mean age was 30.52 (±4.65) years, they were mostly multi-gravid, married, and with tertiary education. Mean time spent in ANC and waiting time were 191 min and 143 min, respectively. Waiting time was longest at doctor's consultation (59 min), laboratory services (38 min), and the cash pay-point (18 min). About 68.9% were satisfied with services and highest at doctors' consultation. Satisfaction was associated with waiting time of <45 min. Dissatisfaction was high at the cash pay-point (28.7%), followed by the laboratory (16.4%). About 56.5% preferred staggered appointments. Time spent in ANC should be reduced and staggered appointments may be a useful strategy to reduce waiting time and patient load.
在产前诊所(ANC)花费的时间是影响孕妇的一个主要不利因素,并且构成了利用ANC服务的障碍。长时间等待和患者满意度低可能导致利用率低下。本研究评估了等待时间、患者满意度以及对错开的ANC预约的偏好。进行了一项横断面研究;获得的信息包括社会人口统计学和产科特征,以及在ANC服务点花费的时间。使用国际商业机器公司(IBM)的统计产品与服务解决方案(SPSS)软件版本23对数据进行分析。进行了描述性统计和卡方检验。显著性水平:<0.05。对122名参与者进行了访谈。平均年龄为30.52(±4.65)岁,她们大多为经产妇,已婚,并且接受过高等教育。在ANC花费的平均时间和等待时间分别为191分钟和143分钟。在医生会诊(59分钟)、实验室服务(38分钟)和现金支付点(18分钟)等待时间最长。约68.9%的人对服务满意,在医生会诊时满意度最高。满意度与等待时间<45分钟相关。在现金支付点(28.7%)和实验室(16.4%)的不满率较高。约56.5%的人更喜欢错开预约。应减少在ANC花费的时间,错开预约可能是减少等待时间和患者负担的一项有效策略。