Handler A, Rosenberg D, Raube K, Kelley M A
Maternal and Child Health Training Program of the University of Illinois School of Public Health Community Health Sciences Division, Chicago 60612, USA.
Med Care. 1998 May;36(5):679-94. doi: 10.1097/00005650-199805000-00008.
The objective of this study was to explore the relation between prenatal care characteristics and satisfaction among Medicaid recipients.
African-American (n = 75) and Mexican-American (n = 26) nonadolescent primiparous pregnant women who had at least three prenatal care visits participated in a 25-minute telephone survey that asked them about satisfaction with prenatal care (art of care, technical quality, physical environment, access, availability and efficacy); prenatal care characteristics (practitioner attributes, service availability, and features of the delivery of care); and, personal characteristics (sociodemographics, health status and behaviors, and pregnancy-related variables). Univariate and multivariable analyses were conducted to explore the relations between personal characteristics and satisfaction and between care characteristics and satisfaction.
For the overall sample, the following prenatal care characteristics were associated with increased satisfaction: having procedures explained by the provider, short waiting times at the prenatal care site, the availability of ancillary services, and reporting that the prenatal care practitioner was male. When examining the data by ethnicity, whether the provider explained procedures was the most important determinant of satisfaction for both African-American and Mexican-American women.
Knowledge of the care characteristics that impact low-income pregnant women's satisfaction can be utilized to alter service delivery to increase use of prenatal care and ultimately to improve perinatal outcomes.
本研究的目的是探讨医疗补助受助者的产前护理特征与满意度之间的关系。
75名非裔美国人和26名墨西哥裔美国初产非青春期孕妇，她们至少进行了三次产前检查，参与了一项25分钟的电话调查，调查询问她们对产前护理的满意度（护理的艺术、技术质量、物理环境、可及性、可用性和效果）；产前护理特征（从业者属性、服务可用性以及护理提供的特点）；以及个人特征（社会人口统计学、健康状况和行为以及与怀孕相关的变量）。进行单变量和多变量分析以探讨个人特征与满意度之间以及护理特征与满意度之间的关系。
对于总体样本，以下产前护理特征与满意度提高相关：由提供者解释程序、产前护理地点等待时间短、辅助服务的可用性以及报告产前护理从业者为男性。按种族检查数据时，提供者是否解释程序是非洲裔美国妇女和墨西哥裔美国妇女满意度的最重要决定因素。
了解影响低收入孕妇满意度的护理特征可用于改变服务提供方式，以增加产前护理的使用并最终改善围产期结局。
