Gregory Emily J, Abbasi Aleeza H, Markham Kara B
Department of Obstetrics and Gynecology and Division of Maternal Fetal Medicine, University of Cincinnati, Cincinnati, OH, USA.
Department of Maternal Fetal Medicine in the Cincinnati Children's Fetal Care Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Patient Exp. 2024 Feb 11;11:23743735241231693. doi: 10.1177/23743735241231693. eCollection 2024.
Recognizing the paucity of literature describing the non-medical effects of care at a tertiary parental fetal care center upon families, the purpose of the study was to better examine the potential barriers that our patients face related to care in a parental fetal care center. An anonymous survey was sent via email to patients who received care from 2015 to 2021. The survey included questions regarding demographics, fetal diagnoses, non-medical expenses related to care, and the impact of care on patient relationships, employment, and other children. 453 patients (15.9%) responded out of the 2684 emails sent. 58.3% of patients traveled >100 miles to reach our referral center, with 20% traveling >300 miles. 42.6% of patients reported non-medical expenditures exceeding $1000, with nearly 1 in 10 reporting expenditures of >$5000 (8.6%). Overall, 38.2% of women reported moderate to severe financial burdens related to receiving care at the parental fetal care center. This study illuminates the financial and social burdens that care at a tertiary parental fetal care center imposes upon families. By acknowledging these barriers, we can strive to minimize them to best provide equitable access to high-quality fetal care services.
认识到关于三级孕产妇胎儿护理中心的护理对家庭的非医疗影响的文献匮乏,本研究的目的是更好地调查我们的患者在孕产妇胎儿护理中心接受护理时所面临的潜在障碍。通过电子邮件向2015年至2021年期间接受护理的患者发送了一份匿名调查问卷。该调查问卷包括有关人口统计学、胎儿诊断、与护理相关的非医疗费用以及护理对患者人际关系、就业和其他子女的影响等问题。在发送的2684封电子邮件中,有453名患者(15.9%)回复。58.3%的患者前往我们的转诊中心的路程超过100英里,其中20%的患者路程超过300英里。42.6%的患者报告非医疗支出超过1000美元,近十分之一的患者报告支出超过5000美元(8.6%)。总体而言,38.2%的女性报告在孕产妇胎儿护理中心接受护理带来了中度至重度的经济负担。这项研究揭示了三级孕产妇胎儿护理中心的护理给家庭带来的经济和社会负担。通过认识到这些障碍,我们可以努力将其最小化,以最好地提供公平获取高质量胎儿护理服务的机会。