Almutairi Ghaday, Alshmrani Layan S, Mishal Alomairi Rahaf, Alotaibi Mohammed S, Alhumaidi Norah H, Muslih Alotaibi Rayan, Mubarak Aljebeli Shahad, Ali Alarfaj Suha, Ali Alhenaki Shaden, Abdulaziz Albedah Bashaer, Alhomaid Tameem A
Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Qassim, SAU.
Medicine, King Khalid University, Abha, SAU.
Cureus. 2024 Dec 25;16(12):e76383. doi: 10.7759/cureus.76383. eCollection 2024 Dec.
Patient satisfaction is a critical indicator of healthcare quality, including high-quality antenatal care (ANC), and it directly impacts care continuity and health outcomes. This study assessed the satisfaction levels of pregnant women with ANC services provided at primary healthcare centers (PHCs) within the Qassim Health Cluster, Saudi Arabia.
A cross-sectional survey was conducted among 646 pregnant women attending ANC services in the Qassim region. Participants completed a validated questionnaire assessing demographic characteristics, healthcare interactions, and satisfaction levels across various ANC service aspects, including waiting times, healthcare provider communication, and healthcare service quality. Statistical analyses, including Pearson's chi-squared tests, Fisher's exact tests, and regression analyses, were performed to identify predictors of satisfaction.
The majority of participants (N=366, 90.6%) reported successfully booking their appointments, and 368 (91.1%) faced no challenges during the process. While 393 (97.3%) and 398 (98.5%) reported receiving weight and blood pressure measurements, respectively, only 312 (77.2%) were advised on diet, and 298 (73.8%) received explanations about alarming symptoms. Communication gaps were noted, with 71% (N=287) of participants indicating that physicians did not introduce themselves, and 307 (76%) reported that physicians did not disclose their specialties. Satisfaction levels were highest for maintaining privacy (273 (67.6%) highly satisfied) and healthcare staff attitudes (247 (61.1%) highly satisfied), with an overall satisfaction mean score of 4.31±0.869. Regression analyses identified healthcare service levels and years of marriage as significant predictors of satisfaction (p<0.05).
While overall satisfaction with ANC services was high, areas such as physician communication and health education require improvement. Interventions focusing on enhancing patient-provider interactions, providing comprehensive health education, and optimizing service delivery could further improve satisfaction.
患者满意度是医疗质量的关键指标，包括高质量的产前保健（ANC），它直接影响医疗连续性和健康结局。本研究评估了沙特阿拉伯卡西姆健康集群内基层医疗中心（PHC）提供的ANC服务的孕妇满意度水平。
对卡西姆地区646名接受ANC服务的孕妇进行了横断面调查。参与者完成了一份经过验证的问卷，评估人口统计学特征、医疗互动以及ANC服务各个方面的满意度水平，包括等待时间、医疗服务提供者沟通和医疗服务质量。进行了统计分析，包括Pearson卡方检验、Fisher精确检验和回归分析，以确定满意度的预测因素。
大多数参与者（N = 366，90.6%）报告成功预约，368人（91.1%）在此过程中没有遇到挑战。虽然分别有393人（97.3%）和398人（98.5%）报告接受了体重和血压测量，但只有312人（77.2%）得到了饮食建议，298人（73.8%）得到了关于警示症状的解释。发现存在沟通差距，71%（N = 287）的参与者表示医生没有自我介绍，307人（76%）报告医生没有透露他们的专业。隐私保护（273人（67.6%）非常满意）和医护人员态度（247人（61.1%）非常满意）的满意度最高，总体满意度平均得分为4.31±0.869。回归分析确定医疗服务水平和结婚年限是满意度的重要预测因素（p<0.05）。
虽然对ANC服务的总体满意度较高，但医生沟通和健康教育等方面需要改进。专注于加强医患互动、提供全面健康教育和优化服务提供的干预措施可以进一步提高满意度。
